Tickets Order Form

To order ticket(s) for the Jeans and Gems Gala, please fill out the following information and press the 'Submit' button only once. Required Form Fields are identified with the symbol *.

Purchaser Info
Order Information Amount Total
Gala tickets $125:
$
VIP Table (Table of 8) $2000:
$
Total:
$
VIP Table Purchaser's Guest Names (including purchaser)
First Name Last Name Special Menu Requirements?
(E.g. Vegetarian meals)
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CAPTCHA
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