2025 INDIVIDUAL TIX-EARLY BIRD-AUCTION/DINNER

INDIVIDUAL TICKETS

ACLT's Annual Dinner & Auction October 5, 2025
NOTE: This form is for the purchase of up to 5 tickets. If you wish to reserve a table for 6, please use this form.
Ticket sales are now closed. If you wish to be added to the waitlist, please email miriam@acltweb.org

You're welcome to join the auction online by registering using this form. You will receive a link to the auction when it opens at 3pm on Sunday, October 5th.
YOUR INFORMATION
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
INDIVIDUAL TICKETS
Total Number of Tickets*
Select up to 5 total tickets. See link at top of form to reserve a table for 6.
Your Guest's Name:

First NameLast Name
Your Guests' Names:

First NameLast Name
First NameLast Name
First NameLast Name
First NameLast Name
PAYMENT

Individual Auction Tickets
Comments/Questions
Should be Empty:

INDIVIDUAL TICKETS