2026 Black, White & Blue Awards Gala Purchase Form
The BWB Awards Gala is on Thursday, April 2nd, at the Fairmont Dallas
Please complete the form below to purchase a Table (10 seats) for the BWB Gala.
Please select your purchase below:
*
Please Select
Table - $6,000
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
Email
*
example@example.com
Company
*
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
Email
*
example@example.com
Company
*
Billing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Confirmation
Purchase Terms & Confirmation
*
I acknowledge that my purchase is non-refundable and that the information I have provided in this form is accurate. I understand that an invoice will be issued based on the details submitted.
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Submit
If you have questions, contact us at
northtexas@corenetglobal.org
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