New Customer Registration Form

Tickets Sales are now CLOSED.

[To join the Wait-list for tickets or to sponsor the event after the deadline, please contact Susan Grabski at director@lawrencehistory.org]

Full Name*

First NameLast Name

Organization/Company Name (if applicable)

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number*

Format: (000) 000-0000.

E-mail*

example@example.com

Please list name(s) of guests as they should appear on the name tag*

PLEASE SELECT your ticket(s) and/or sponsorship level and SUBMIT PAYMENT below:*

TICKET RATE: Standard Individual

$100.00 Quantity

TICKET RATE: "Young Historian"

(for those 30 years old and under)

$80.00 Quantity

TABLE SPONSOR: 8 Tickets/Guests

$750.00 Quantity

SPONSORSHIP LEVEL: Heritage Leader

[includes 8 event tickets (or one table), logo placement, and mention from the podium]

$5,000.00 Quantity

SPONSORSHIP LEVEL: Founder’s Club

[includes 4 event tickets, logo placement]

$2,500.00 Quantity

SPONSORSHIP LEVEL: Immigrant City Circle

[includes 3 event tickets]

$1,500.00 Quantity

SPONSORSHIP LEVEL: Preservation Partner

[includes 2 tickets]

$500.00 Quantity

SPONSORSHIP LEVEL: Research Sponsor

[includes 1 ticket]

$250.00 Quantity

SPONSORSHIP LEVEL: Historic Friend

$50.00 Quantity

Total

$0.00

Payment Methods

Debit or Credit Card

Choose from one of the PayPal options to make your payment.