2012 Nicaragua Night Auction Tickets

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Please fill out the information below to reserve your Auction 2012 Tickets! Prompt payment will complete your reservation confirmation. Please note that there are 10 seats per table.

First Name *

Last Name *

Email Address *

Please provide us with your email address. We will only email you with information regarding Nicaragua Night 2012, unless you indicate interest in further correspondence in a later question. We will not share your contact information with other parties.

Adult Tickets *

Number of Tickets ($15/each) you would like to reserve

Adult Tickets Total *

number of tickets desired * $15 for total due

Student Tickets *

Number of tickets ($10 each) you would like to reserve for students ages 5 through College-age

Student Ticket Total *

number of student tickets desired * $10 for total due

Pick up or Delivery? *

Please choose an option to let us know how you would like to receive your tickets. Please note that your reservation is not completely confirmed until payment is received.

Names of others attending with you

Names & Ages of Children Requiring Care at the Auction

Child care will be provided, with small donations to PGL appreciated. Reservations will help us plan accordingly.

Would you like to be added to our email list?

We will only email you with information if you would like it!

Special seating consideration

Please list special seating insturctions ie-location or with another party. We will do our best to accomodate your request.

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