Gala Registration Form

25th Anniversary Gala

December 12, 2026 | 5:00 pm Cocktail Hour - 6:00 pm Dinner | Earl Graves School of Business Atrium
Registration Type
Registrant Information
First Name
Last Name
Initiation Year
Email Address
example@example.com
Mobile Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Mailing Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Guest Information
Guest First Name
Guest Last Name
Dietary & Accessibility Needs
Registrant Dietary Question
Do you have any dietary restrictions or food allergies?
Please describe your dietary restrictions or food allergies.
Guest Dietary Question
Does your guest have any dietary restrictions or food allergies?
Please describe your guest's dietary restrictions or food allergies.
Accessibility
Are any accessibility accommodations needed for your registration?
Please describe any accessibility accommodations needed.
Registration Policies & Acknowledgment
Registration Policies
Registration Deadline: Monday, November 9, 2026

Refund Policy: All gala registrations are nonrefundable.

Transfer Policy: Individual Registrations may be transferred to another person. For Couple Registrations, the primary registrant's registration may be transferred to another person, and the accompanying guest may also be changed at the registrant's discretion. All transfer requests must be received no later than Thursday, December 10, 2026. No transfers will be accepted after this deadline.
Registration Policy Acknowledgment
Registration Payment

Please select the the registration option you chose above to proceed with payment.

Payment Selection

Individual Registration

$150 Registration + $4.79 Card Processing Fee

$154.79

Couple Registration

$275 Registration + $8.52 Card Processing Fee

$283.52

Total

Debit or Credit Card
Credit Card Number	Security Code
Expiration Month	Expiration Year

Should be Empty:

25th Anniversary Gala

Registrant Information

Guest Information

Dietary & Accessibility Needs

Registrant Dietary Question

Guest Dietary Question

Accessibility

Registration Policies & Acknowledgment

Registration Policies

Registration Payment

Payment Selection*

Payment Selection