09.08.2017

6-11 IN THE EVENING
INN ON THE LAKE
770 SOUTH MAIN STREET  |  CANANDAIGUA, NY 14424


Casual lakeside attire  |  Seating is strictly limited  |  RSVP by August 18, 2017

TICKETS $225 PER PERSON

Purchase individual tickets or a table of 8 by completing the form below.

To learn about sponsorship opportunities click here!

First Name:*
Last Name:*
Email:*
Confirm Email:*
Day time phone:*
Address Line 1:*
Address Line 2:
City:*
State:*
Zip:*
 




We are unable to attend the Gala but would like to make a donation of: $

 
Please list the names of your guests in the fields below
 
Your Guests: (Please list each guest separately)
Table 1:
1) Name:  Mailing address:
2) Name:  Mailing address:
3) Name:  Mailing address:
4) Name:  Mailing address:
5) Name:  Mailing address:
6) Name:  Mailing address:
7) Name:  Mailing address:
8) Name:  Mailing address:
 
Table 2:
1) Name:  Mailing address:
2) Name:  Mailing address:
3) Name:  Mailing address:
4) Name:  Mailing address:
5) Name:  Mailing address:
6) Name:  Mailing address:
7) Name:  Mailing address:
8) Name:  Mailing address:
 
Table 3:
1) Name:  Mailing address:
2) Name:  Mailing address:
3) Name:  Mailing address:
4) Name:  Mailing address:
5) Name:  Mailing address:
6) Name:  Mailing address:
7) Name:  Mailing address:
8) Name:  Mailing address:
 
Please advise us in the text box below of couples with different last names:
 
If there are other guests with whom you prefer to be seated please list them below (first and last names)
1) Name:
2) Name:
3) Name:
4) Name:
5) Name:
 
We will make every effort to honor your seating preferences. Your tickets will be held at the event registration table.
Total amount charged to your account: $ 
 
Please Note: Once you submit your registration, you will be directed to our secure online payment system. Payment must be made in full for your registration to be complete. Your receipt will serve as confirmation of your registration.