36th Annual Gala

No tickets will be issued; reservations will be held at the door.

For more information, please call (401)444-8811.
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
E-mail*
Contact Number*

Area CodePhone Number

List the first and last name of all guests, including yourself. If anyone has an allergy please note the specific allergy in the corresponding box next to their name.*
List the first and last name of all guests, including yourself. If anyone has an allergy please note the specific allergy in the corresponding box next to their name.*
List the first and last name of all guests, including yourself. If anyone has an allergy please note the specific allergy in the corresponding box next to their name.*
List the first and last name of all guests, including yourself. If anyone has an allergy please note the specific allergy in the corresponding box next to their name.*
If your donation is "In Honor" or "In Memory" of someone, please list their name below