Registration for 2020 Pharmacy Gala on Mar. 28, 2020  Ridgemont CC

Gala Script

Please RSVP by Mar. 15, 2020.

For gala table registration, see HERE.

For gala sponsorship options, see HERE.


Each attendee may register a guest if desired.

         
Patron - $90 per personStudent - $55 per personHosp. Pharm. Resident - $65
 
Note that above early bird prices will increase after Mar. 15, 2020.
 
 Attendee First Name     Last Name   
 Street Addr    City      State Zip
 Phone    (123-456-7890)       E-mail   
If payer name on credit card will be different from attendee, please fill in below.
 Payer 1st Name  Last Name   
 Please select one from the menu choices below.
Chicken Prosciutto Gorgonzola Cordon Bleu Cappuccino Crusted Roast Tenderloin of Beef
Caramelized Salmon with Lemon Caper ButterVegetable Lasagna Alfredo
 
Guest Name (If applicable - Fee will be adjusted.)
 Please select one from the menu choices below (if applicable).
Chicken Prosciutto Gorgonzola Cordon Bleu Cappuccino Crusted Roast Tenderloin of Beef
Caramelized Salmon with Lemon Caper ButterVegetable Lasagna Alfredo
 
If you would like to sit with others, enter up to 3 names below. We may not be able to accommodate all requests.
 
If you would like to be a "Signature Cocktail" sponsor, please check the box and select the quantity below.
Signature Cocktail   x Quantity at $200 each (names listed in program)
Name of cocktail (Optional)
            (Please separate each individual Cocktail & Comment with a semicolon.)
Additional sponsorship questions or comments may be submitted to Chip at psrochester@ymail.com
 
      Credit card payments will be accepted on PayPal after continuing.
 
   Please check the box below before hitting the continue button.
 

(Please pay online in advance.)



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