Gala Registration | Reachout Womens Center

RSVP BY Sunday November 17th 2024

Dinner Ticket Information

$150 per person
$1,000 per table of 8

Cash Raffle Information

Prizes: 1st: $1,000 2nd: $500 3rd: $300
$10 each ticket
$50 for 10 tickets

PLEASE CLICK THE SUBMIT BUTTON WHEN REGISTRATION FORM IS COMPLETED.

AFTER FORM IS SUBMITTED, CLICK PAY NOW.

Gala Registration

First & Last Name *

Address *

City *

State *

Zip *

Phone *

Email *

$150 per Individual

$1,000 per Table of 8

$10 per Individual Cash Raffle Tickets

$50 for 10 Cash Raffle Tickets

Cannot attend but would like to make a donation in the amount of:

Please list Guest Names and any Dietary Restrictions:

If you are human, leave this field blank.

Reachout Women’s Center is a 501(c)(3) non-profit corporation. All contributions to Reachout Women’s Center are tax-deductible to the extent allowed by law. Tax ID: 86-6086733.

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