PSR 2019 Pharmacy Gala Table Registration

    Gala Date is: Mar. 30, 2019

Gala Table - Seats 10; Fee is $900. Includes 10 tickets & quarter page program 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.

                                                                                     
Company/Organization:        
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), Beef (Bacon Wrapped Striploin), Seafood (Gremolata crusted Sea Bass), Vegetarian (Vegetarian Dish)
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
 
 
     OR      



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