PSR 2021 Pharmacy Gala Table Registration

    Gala Date is: Oct. 9, 2021

Gala Table - Seats 10; Fee is $900. Includes 10 tickets & program recognition.
                             OR      Fee is $1000. Includes 10 tickets & sponsor recognition.

Other Gala sponsorship options are described in our Gala Sponsorhip Letter.

Also, you can register for the various sponsorship levels here.

Also, for individual gala registrations, see here.

Please select:
$900 for 10 tickets and program recognition $1000 for 10 tickets and sponsor recognition
Representative Name - First:   Last:          
Contact Phone: ()      
E-mail Address:    
Comment (Optional)
If registering a table, please enter guest names with food choices below, if known.
        The Four Food Choices for the Pharmacy Gala are:
Chicken (Chicken Prosciutto Gorgonzola Cordon Bleu), or Beef ( Cappuccino Crusted Roast Tenderloin of Beef) or
Seafood (Caramelized Salmon with Lemon Caper Butter), or Vegetarian (Vegetable Lasagna Alfredo)
(Please enter names directory style: Last, First - if known.)
Guest Name 1 Food Choice 1
Guest Name 2 Food Choice 2
Guest Name 3 Food Choice 3
Guest Name 4 Food Choice 4
Guest Name 5 Food Choice 5
Guest Name 6 Food Choice 6
Guest Name 7 Food Choice 7
Guest Name 8 Food Choice 8
Guest Name 9 Food Choice 9
Guest Name 10 Food Choice 10

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PSR will not provide this information to third parties without your permission, except as required by our partners
to handle registration and processing. Those organizations may have their own privacy policies.