6th Annual "A Time to Laugh"
Dinner Gala and Comedy Fundraiser Sign-Up Form

Please fill out the form as completely as possible.
After you fill out the form, you will be directed to a payment options page.

Your tickets will be reserved and seat assignments
made available the night of the event.

*Name (first & last):

Company Name:

*E-Mail Address:

Street Address:
City:
State:
Zip:
Home #:
Work # :

Number of Tickets Needed or Sponsorship Level:

 Individual ($75)

Two (2) tickets ($150)

Howling Halfsies (half-table of 4 sponsorship) ($1000)

  • Company name in event brochure
  • Recognition on event signage and program presentation
  • 4 reserved tickets

Tables a Twitter (full table of 8 sponsorship) ($1500)

  • Name and logo on all pre-event publicity
  • Company name in event brochure
  • Recognition on event signage and program presentation
  • Reserved Table of 8

Red Wine Add-On ($20/bottle)
 White Wine Add-On ($20/bottle)

Table Guests:

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Additional Comments:

Please submit only once. A thank you page with payment options will appear to confirm your request.

This site last updated: 12/14/07