RESERVATION & JOURNAL ADS

Please join us for One Huge Night. All donations from the gala will go directly to our life-saving programs. That means every dollar you donate will give a critically ill patient a second chance at life. Thanks for your support!

LEVELS OF SUPPORT

DONATION

Extra donation amount

RESERVED SEATING

Select the TOTAL number of seats you will be reserving.
GRAND TOTAL: $0

SEATING PREFERENCES

JOURNAL ADS

I will send in press ready artwork for the Journal Ad sized to 6”W x 7.5”H.
Please design my Journal Ad for me. I will email the page copy and hi-res photos and logos if applicable.
I DO NOT need a Journal Ad.
All artwork must be submitted by October 4, 2018 via email to LAgala@giftoflife.org.
Journal Ads will be included in both a printed book at the event and in a digital format.

CONTACT INFORMATION

PAYMENT DETAILS

Charge my Credit Card
Pay by Check
Pay by PayPal

Make check payable to Gift of Life Marrow Registry and mail to:

Gift of Life Marrow Registry
800 Yamato Road, Suite 101
Boca Raton, FL 33431


Please reference on your check “LA Gala 2018”

OPTIONAL INFORMATION

In Memory of...
In Honor of...

Gift of Life Marrow Registry is a non-profit 501(c)(3) organization.
$148.00 represents the cost of the dinner for one person.
The remainder of your contribution is deductible from income taxes to the extent permitted by applicable law.

A copy of the official registration and financial information may be obtained from the
Division of Consumer Services by calling toll-free 800-435-7352 within the state.
Registration does not imply endorsement, approval, or recommendation by the state.