2012 Gala: Under a Blu Moon

Please scroll down if you would like to attend, purchase a raffle ticket or make a contribution to Northlight Theatre's 2011 Celebration.

Admission Levels

	$10,000—Platinum Table – Priority Table of 10
	$5,000—Gold Table – Priority Table of 10
	$3,500—Silver Table—Reserved Table of 10
	I wish to purchase individual tickets at $350 each

Gala Guests-If known please include the names of your guests below. Otherwise you will be contacted at a future time for your guest list.

	Name	Address	Phone Number and/or Email Address
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Notes:

I would like to purchase:

Raffle tickets at $75 each.

Donation Amount $

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