Gala Registration for UberEats Customers

Please complete all required fields. Please provide the name, email address, and phone number for each guest. This information is necessary to ensure that each guest receives an e-ticket with a unique QR code via email and text message after successful payment. Thank you for your cooperation, and see you at the event!

Your Name *

Company Name

Email *
Phone *
Tickets* Induvidual Ticket - $25

Number of Tickets 1 2 3 4

Number of Attendee 1 2 3 4 5 6 7 8 9

Ticket #2:

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Name *
Email *
Phone *

Ticket #3:

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Name *
Email *
Phone *

Ticket #4:

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Name *
Email *
Phone *

Guest #4:

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Name *
Email *
Phone *

Guest #5:

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Name *
Email *
Phone *

Guest #6:

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Name *
Email *
Phone *

Guest #7:

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Name *
Email *
Phone *

Guest #8:

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Name *
Email *
Phone *

Guest #9:

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Name *
Email *
Phone *

Total: $