2025 Black White & Blue Awards Gala - Purchase Form
The Black White & Blue Awards Gala is on Thursday, April 17th, at the Fairmont Dallas
Please complete the form below to purchase a Table (10 seats) or a single ticket to the BWB Gala.
Please select what you would like to purchase from the options below:
*
Please Select
Table - $5,500
Ticket - $550 (Member Pricing) & $650 (Non-Member Pricing)
Please confirm your CoreNet membership status:
*
Please Select
Member
Non-Member
**You understand that an invoice will be sent to you based on the selection and verification of status.
Contact Information
Please complete the section below with the contact information for the person managing your registration. We will follow up to gather individual table guest information closer to the event:
Name
*
First Name
Last Name
Company Name
*
Email
*
example@example.com
Is the contact information above the same for billing?
*
Please Select
Yes
No
Billing Information
This section is for billing purposes only. Please provide the contact information for the individual or department to whom the invoice should be sent.
Contact for Billing
*
First Name
Last Name
Company
*
Billing Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Confirmation
Purchase Terms & Confirmation
*
I acknowledge that my purchase is non-refundable and that the information provided is accurate. I understand that an invoice will be sent based on the information completed on this form.
Submit
Should be Empty: