Florida Night for Life RSVP

The Country Club of Orlando
1601 Country Club Dr, Orlando, FL 32804
Wednesday, November 12th, 2025
11:30 - 1 pm

Note: In order to purchase individual tickets, please multiply the number of tickets by $50, and enter the amount in the box.

Donation

Reservation*

Presenting Sponsor, $20,000

Platinum Level Sponsorship, $10,000

Gold Level Sponsorship, $5000

Silver Level Sponsorship, $2500

Bronze Level Sponsorship, $1000

Individual Tickets, $50 per person

Host a Table, $400

Make a one-time donation

Donor Information

Last Name*

First Name*

Middle Name

Donor Address

Street Address*

Street Address Line 2

City*

State/Region*

Zip Code*

Donor Contact Info

Home Phone

Home Email*

Payment Options

Payment Method

Credit Card Information

Card information is sent directly to processor over encrypted connection and not stored in database.

Accepted Cards

Is Billing Address Different?

Credit Card Number*

Credit Card Expiration Month*

Credit Card Expiration Year*

Credit Card Security Code (CVV)*