Luna 2024 RGV & El Paso Registration

Today's Date*

MonthDayYear
Date
Select Participating City:*

Rio Grande ValleyEl Paso
Company Name:*
Full Name*

First NameLast Name
Cell Number*
Format: (000) 000-0000.
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Underwriting / Individual (no refunds)*

Presenting Underwriter

Cities: El Paso or RGV

$10,000.00

Luna Pink Hard Hat

co-sponsor - SOLD OUT

$5,000.00

Luna Holding Hands Circle Underwriter

$5,000.00

Luna Founder Underwriter

$2,500.00

Corporate Table

Reserved Table of 8

$1,500.00

M/WBE Table

Reserved Table of 8

$1,000.00

Individual Seats

Member

$100.00 Quantity

2024 Luna Ambassador

Code required

$100.00 Quantity

2024 Nominee

Code required

$100.00 Quantity

Enter coupon

Total

$0.00

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

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