Gala Registration Step 1 of 2 50% Contact DetailsName(Required) First Last Email(Required) Enter Email Confirm Email PhoneAddress Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Payment DetailsTicket OptionsBenefactor, Table of 10 & Spotlight Page AdPatron, Table of 10Sponsor, Single TicketFriends, 2 tickets for a coupleDonor, single ticketBenefactor, Table of 10 & Spotlight Page Ad Quantity Price: $5,000.00 Quantity Spotlight Page Ad Copy I will submit my ad via email to pportero@cancersupportteam.org I will type my own Ad Copy. Please prepare the ad for me. Type your Ad Copy HerePatron, Table of 10 Quantity Price: $4,000.00 Quantity Sponsor, Single Ticket Quantity Price: $1,000.00 Quantity Friends, 2 tickets for a couple Quantity Price: $750.00 Quantity Donor, single ticket Quantity Price: $400.00 Quantity Guest NamesI am unable to attend but am happy to enclose a fully tax-deductible contribution of $500 $250 $100 Other Credit Card American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Month Month010203040506070809101112 Year Year20252026202720282029203020312032203320342035203620372038203920402041204220432044 Security Code Cardholder Name Giving Options Your donation is securely processed by PayPal, with a 2.4% transaction fee to cover credit card fees, bank fees, and another processing costs. Please consider chipping in an additional 2.4% so 100% of your donation amount goes to us.Untitled Donate 100% – Add 2.4% so that 100% of the donation goes to CANCER SUPPORT TEAM. Donate 97.6% – I understand PayPal deduct 2.4% to cover transaction costs. 2.4% added Price: $0.00 2.4% added Price: $0.00 2.4% added Price: $0.00 2.4% added Price: $0.00 2.4% added Price: $0.00 2.4% added Price: $0.00 2.4% added Price: $0.00 2.4% added Price: $0.00 Total