Event Registration Contact Name Company Email Phone Purchasing Presenting Sponsor $10000 Midnight Sponsor $5000 Count Down Sponsor $1000 Celebration Sponsor $500 Cheer $250 Individual Tickets ($50/each) Number of Tickets ($50/each) Attendee #1 Be sure to include yourself if attending. First Name Last Name Email Provide Dietary Restrictions Attendee #2 First Name Last Name Email Provide Dietary Restrictions Attendee #3 First Name Last Name Email Provide Dietary Restrictions Attendee #4 First Name Last Name Email Provide Dietary Restrictions Attendee #5 First Name Last Name Email Provide Dietary Restrictions Attendee #6 First Name Last Name Email Provide Dietary Restrictions Attendee #7 First Name Last Name Email Provide Dietary Restrictions Attendee #8 First Name Last Name Email Provide Dietary Restrictions Transaction Details Are you willing to cover the 3% credit card processing fee? Yes No Total $ 1 Payment
