Gala Registration
Yes, i will be sharing my voice at the 3rd Annual International ‘i have a voice’ Gala!
Enclosed is my Registration for the 3rd Annual International ‘i have a voice’ Gala in Des Moines! Saturday, February 23, 2013 Marriott Downtown Des Moines 6pm
_____ # of seats at $85.00 per seat ____________ _____ # of tables at $850.00 per table __________ _____ I cannot attend, but I wish to share my voice
_____by sponsoring _____ # of tickets at $85.00 each for individuals with Down syndrome to attend.
_____ with a donation of $__________.
Name(s): _____________________________________________________________Phone # _____________________________
Address: _________________________________________________________________________________________________ Email Address: ____________________________________________________________________________________________ Please charge my: _____ MasterCard _____ Visa _____ American Express _____ Discover
Name on Card: ____________________________________________________________________________________________ Card #: ___________________________________________________Exp. Date: ______________ CVC Code: ______________
Signature: _________________________________________________________________________ Date: _________________ If registering for more than one person please tell us their names: _____________________________________________________ _________________________________________________________________________________________________________
Name of person with Down syndrome whom you are supporting: ______________________________________________________ A receipt and confirmation will be sent to you. Thank You for your support of GiGi’s Playhouse Des Moines.
Mail Gala Registration to: GiGi’s Playhouse 10430 New York Ave, Suite A Urbandale, IA 50322 You can Register Online at: www.gigisplayhouse.org/desmoines or Call 515-252-7529
