All Hearts Gala Registration Form

Register for All Hearts Gala

Join us for an evening of fun, fundraising, art, music, food, and celebrating community!
Full Name*

First NameLast Name
E-mail*
example@example.com
Phone Number*
Number of Tickets*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Food Choice
All meals include: Roasted Red Potatoes, Broccolini with Lemon, Coffee, Tea, Iced Tea, and Strawberry Shortcake.
Guest Name
Guest Food Choice
Payments are processed through PayPal. You may pay using an existing PayPal account, or any major credit card / debit card.
If registering an entire table, please email your names and food choices to info@clallammosaic.org

Food Choices: Asparagus Stuffed Chicken OR Cheddar Chive Stuffed Chicken Breast OR Portabella Mushroom Stack. All meals include: Roasted Red Potatoes, Broccolini with Lemon, Coffee, Tea, Iced Tea, and Strawberry Shortcake.

My Products

One Ticket - All Hearts Gala

$125.00 Quantity

One Table of 8 people - All Hearts Gala

$850.00

Total

$0.00

Register for All Hearts Gala