Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Phone
*
Please enter a valid phone number.
Is anyone else attending with you? (Spouse or Guest?)
*
Please Select
Yes
No
Please list their names separated by a comma
Dedications
*
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Legacy of Light Sponsor
Light Sponsors include up to 4 tickets
$
5,000.00
Legacy Sponsor
Legacy Sponsors include 2 tickets
$
1,800.00
Event Ticket
Please select quantity for multiple reservations.
$
180.00
Quantity
1
2
3
4
Item subtotal:
$
0.00
Support the The Legacy of Light
Unfortunately, I can not attend but I would like to make a donation.
$
1.00
Your Donation $
Item subtotal:
$
0.00
Submit
Should be Empty: