Champions of Dance_v4.jpg
 
 
NOVEMBER 8, 2019 · RAMADA HOTEL AND CONFERENCE CENTER · 6PM-11PM
 
 
 
 
Benefitting Open Your Heart to a Senior
Please follow the instructions below to register
1. Enter your email address
2. Enter the number of individual tickets, tables, or indicate if you would like to be a sponsor for the event
-If you are registering for a group but will not attend, please check the "I will not attend this event" button
3. Select a payment option
4. Enter each name in your group in the boxes below as well as which dancer that person is supporting *You must enter a dancer's name for each attendee, it is a required field
-If you don't know the members of your group, please enter your name in the name fields
-If you would like to donate a ticket to a care recipient, please type "Care Recipient" in the name fields
5. Choose whether you would like a confirmation email
6. Enter the security code and click submit
7. If paying by credit card you will be redirected to another page to securely enter your credit card information
 
 
If you would like to purchase a sponsorship without tickets, give a monetary gift to the event but will not be able to attend, or are paying for tickets by check, please print and mail the Pay by Check and Sponsorship Form to the address listed on the form.
 
*If you are registering online and do not know the name of your guests, please enter "Guest of" and your last name when prompted to enter this information.
 

User Registration

Description

Fee

Quantity

Total

Gold Sponsor (20 Seats) $3,000.00 $0.00
Silver Sponsor (10 Seats) $1,500.00 $0.00
Date Night Sponsor (2 Seats) $500.00 $0.00
Individual Ticket (1 Seat) $75.00 $0.00

Total

  0 $0.00

Card Type:

American Express
Discover Card
MasterCard
Visa

Card Number:

Expiry Date:

Name On Card:

I will pay later