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RSVP

22ND ANNUAL GALA 2025
If you need help with this form or placing a reservation please feel free to call the office at: 310.544.5544
GALA RESERVATIONS & MISSION POSSIBLE CAMPAIGN
Full Name*
First Name Last Name
E-mail*
Phone Number

Area Code Phone Number
*

YES, I/We will attend the GalaI cannot attend but I am pleased to contribute
How many People will attend?*
MISSION POSSIBLE CAMPAIGN
YES, Please include me in the Mission Possible Campaign*

VISIONARY $18,000 (Includes 2 tickets)BUILDER $10,000 (Includes 2 tickets)PILLAR $5,400 (Includes 2 tickets)PARTNER $3,600 (Includes 2 tickets)GUARDIAN $2,500 (Includes 2 tickets)SUSTAINER $1,800 (Includes 2 tickets)BOOSTER $1000 (Includes 2 tickets)ALLY $500CONNECTOR $360SPARK $180None
Other Amount Use this field if you would like to donate an amount not listed in the Campaign list

$
CAMPAIGN RSVP Use this field only if you are a Booster Level or above
Total

$0.00
PAYMENT

Payment*

Credit Card

We accept Visa, MasterCard, American Express
Credit Card Number	Security Code
Name on Card
Expiration Month	Expiration Year

Billing Address

Street Address

City

State / Province

Postal / Zip Code

Country

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GALA RESERVATIONS & MISSION POSSIBLE CAMPAIGN