MOG Anniversary Reservation

MOG 25th Anniversary Reservation
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*

Area CodePhone Number
E-mail*
Number of tickets (Per Adult) $75*
Number of tickets (Ages 15 & Under) Free*
Virtual Ads

Email your ad copy as you wish it to appear to mogoca.treasurer@gmail.com.
Color ads will be displayed in a slideshow. Please check one.

$125 Full screen$75 Shared screen$25 One-line message
Total due $ *
(Tickets + Virtual Ad)
I am unable to attend, but would like to support MOG with a donation of $
If you have questions, please contact Father Peter Baktis, 703-615-9617.

Response and payment for tickets and Virtual Ad content must be received by October 14, 2023.
Enter the message as it's shown*
Important: Upon clicking the Submit button below, you will be redirected to our online donation page to complete your payment. Under Payment Code, select 25th Anniversary.
Should be Empty:

MOG 25th Anniversary Reservation