1ST ANNUAL HOUSTON GALA Registration Form
Name
*
First Name
Last Name
Event Attending
*
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Company Name
Title
Registration Payment Options
My Products
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DIAMOND VIP (16 SEATS)
Table sponsor will receive 15 tickets to drawing & individual guest gifts. Your name or company will be recognized on event sponsor title, event printed material, main stage banners, and all social media postings.
$
10,000.00
Quantity
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10
Item subtotal:
$
0.00
PLATINUM VIP TABLE (8 SEATS)
Table sponsor will receive 6 tickets to drawing & individual guest gifts. Your name or company will be recognized on event printed materials, main stage banners, and all social media postings.
$
5,000.00
Quantity
1
2
3
4
5
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9
10
Item subtotal:
$
0.00
GOLD TABLE (8 SEATS)
3 tickets to drawing & individual guest gifts. Participation in an open bar, dinner, raffles, games, live auction, and activities.
$
2,500.00
Quantity
1
2
3
4
5
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8
9
10
SILVER TABLE (8 SEATS)
$
1,200.00
Quantity
1
2
3
4
5
6
7
8
9
10
Individual Tickets
$
175.00
Quantity
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2
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Item subtotal:
$
0.00
Payment Methods
Credit Card
Apple Pay
After submitting the form, you will be redirected to Apple Pay to complete the payment.
Google Pay
After submitting the form, you will be redirected to Google Pay to complete the payment.
Cash App Pay
After submitting the form, you will be redirected to Cash App Pay to complete the payment.
Submit
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