15 Under 50: Juneteenth Community Impact Awards Gala Ticket Purchase
Black Excellence Gala - Bill Sapp Recreation Center - 1100 N Cedar St. Lumberton, NC 28358 - Friday, June 19, 2026 from 6:30 pm to 8:30 pm. *Tickets are nonrefundable* Semi-formal or formal attire requested.
Your Name (if single ticket) or Primary Guest Name (if multiple tickets)
*
First Name
Last Name
Email Address
*
example@example.com
Number of Tickets
Name of Honoree You are Supporting
*
First Name
Last Name
Please list any dietary restrictions
Vegetarian
Vegan
Gluten-Free
Nut Allergy
No Restrictions
Other
Other dietary restrictions
Second Guest Name
First Name
Last Name
Third Guest Name
First Name
Last Name
Fourth Guest Name
First Name
Last Name
Fifth Guest Name
First Name
Last Name
Sixth Guest Name
First Name
Last Name
Seventh Guest Name
First Name
Last Name
Eighth Guest Name
First Name
Last Name
Complete Registration & Payment
Purchases
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1 Pre Order Souvenir booklet
1 booklet ($10)
$10.00
$
10.00
2 Pre Order Souvenir booklets
2 booklets ($20)
$20.00
$
20.00
Event Tickets
Single Ticket ($40)
$40.00
$
40.00
Quantity
1
2
3
4
5
6
7
8
9
10
Should be Empty: