So Cal Gala Registration Form

Nightlight SoCal Gala Anniversary Dinner

Saturday, April 30, 2022
The Oasis Event Center
801 Narcissus, Corona Del Mar, CA 92625
6pm to 9pm

Donation

Reservation

Catering Sponsor for $5000

Venue Sponsor for $2500

Teddy Bear Blitz Sponsor for $1000

Advertising Sponsor for $500

Table for 8 for $350

Child Tickets $20 each

Adult Ticket $50 each (2 Free)

Donor Information

Last Name*

First Name*

Middle Name

Donor Address

Street Address*

Street Address Line 2

City*

State/Region*

Enter Region

Zip Code*

Donor Contact Info

Home Phone

Enter International

Home Email*

Guests

Please list all guests in your party (if purchasing individual tickets) or at your table (if you are an event sponsor). You're not required to enter all your guests at this time. You can email us at rebekah@nightlight.org to register any remaining guests or make other changes.

Guests

First Name	Last Name	Phone Number	Email
		Enter International
		Enter International
		Enter International
		Enter International
		Enter International
		Enter International
		Enter International
		Enter International
		Enter International
		Enter International
		Enter International
		Enter International
		Enter International
		Enter International
		Enter International

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)*

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