FANTASY ISLAND: A Night in the Tropics
2018 DIVERSIONARY GALA
RSVP Form
Name *
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Preferred Name
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Address *
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City *
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State *
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Zip *
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Phone Number *
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Email Address *
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Billing Address (if different than address above)
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Join us at FANTASY ISLAND! Please select number of tickets wanted. REGULAR TICKET $150 (3 Course Plated Meal, Entertainment - $50 tax-deductible) VIP TICKET $250 (VIP Reception, Prime Seating Location, Table Wine Service, 3 Course Plated Meal, Entertainment, Special Gift - $100 tax-deductible)
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Regular Ticket(s) - $150 each
VIP Ticket(s) - $250 each
I'd like to purchase a table
Names of Guests
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Dinner selections - Please select total number of dishes for your party.
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Column 11
Chicken
Fish
Vegetarian
Vegan
I would like to purchase Raffle Tickets ( $25 ea -or- 5 for $100.00) Please enter number of tickets.
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Feeling Generous?
Make a donation AND/OR Sponsor an artist to attend
I cannot attend, but would like to make a donation:
I would like to sponsor an artist to attend
Payment: *
CC#
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Expiration Date
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Name on Card
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