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Name
*
$
Dr.
Dr. and Mrs.
Miss
Mr.
Mrs.
Mr. and Mrs.
Ms.
Congressman
Hon.
Judge
Judge & Mrs.
Mr. & Mrs.
Title
First Name
Last Name
$
One Time
Recurring
Address
*
$
Address Line 1
Address Line 2
City
State
Zip
$
One Time
Recurring
Email
*
$
$
One Time
Recurring
Phone
*
$
$
One Time
Recurring
Organization
*
$
$
One Time
Recurring
Ticket Selection
*
$
Ticket Selection
$
One Time
Recurring
2024 GALa Ticket
*
$
$
x $75.00
One Time
Recurring
CASA Volunteer Ticket
*
$
$
One Time
Recurring
Current CASA Volunteers and Guest Only
Guest Registration
*
$
Guest Registration
$
One Time
Recurring
Guest Name or Names
*
$
$
One Time
Recurring
Enter TBD if names currently unknown.