Gala Online Ticket Order Form

2019 Gala Ticket

Gala Ticket Order Form

*Ticket prices reflect a 4% credit card fee included in the price

Early Bird $72.80 each - Quantity: 

Senior (65 or older) $$62.40 - Quantity: 

Table of 10 $728.00 - Quantity: 

Table of 8 $592.80 - Quantity: 

**Tables can accommodate up to 10 people. We may seat others with your group in order to complete a table. If you wish to sit with or next to another party, please be sure to include on this ticket order form. 

***List the names and email addresses fo all of the guests at your table or that you have purchased tickets for.  

1. Guest:    Email: 

2. Guest:    Email: 

3. Guest:    Email: 

4. Guest:    Email: 

5. Guest:    Email: 

6. Guest:    Email: 

7. Guest:    Email: 

8. Guest:    Email: 

9. Guest:    Email: 

10. Guest  Email:  

 

*If more room is needed, please mention in Additional Comments.

**I would like to be seated with or near: 

Additional Comments: 

Billing Information:

First Name: 

Last Name: 

Phone:  Email: 

Address: 

City:   

State:   Zip Code: 

 

Credit Card Number: 

Experation Date:  / 

Verification Code: 

 

I understand and approve a 4% credit card processing fee that is added to my ticket price.

I authorize Queen of the Rosary to charge my credit card.

   *Without this authorization Queen of the Rosary cannot process your order.



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