Welcome to the Gala
Online Event Registration

9th Annual Gala
June 7, 2014
5:00PM
Edmonds Aircraft Service
Parlin Field Airport


Take flight for a memorable night… join the fun and help your community hospital soar!

Your boarding pass to the 9th Annual Gala includes:

Delectable Passed Hors d'Oeuvres and 3-course Beef Tenderloin Dinner* Catered by The Old Courthouse Restaurant

Complimentary In-Flight Beverages

“Photo Booth” Style Photos with a Vintage Airplane

Dancing the Night Away to the Doo-wop Era Tunes of The Fontones

Free Parking and Round-trip Trolley Service**

*Vegetarian Option Available with Advance Notice by May 30. Call 526.5373 to request.

**Parking and Event Transportation
Transportation to the event starts at 5:00PM departing from Newport Middle High School (at 254 N. Main St.). Free parking and complimentary round-trip trolley/shuttle service provided by Community Alliance of Newport. Round trip shuttles run throughout the evening.

General Entry Boarding Pass:
$125 /per person

Hospital Supporter Boarding Pass:
$175 /per person
($50 of this ticket is a tax-deductible donation to support the hospital)


Please select a boarding pass option and provide a name for each person you are registering (8 guests per table maximum)

Guest 1:
General Entry: $125
Hospital Supporter: $175
Guest Name:


Guest 2:
General Entry: $125
Hospital Supporter: $175
Guest Name:


Guest 3:
General Entry: $125
Hospital Supporter: $175
Guest Name:


Guest 4:
General Entry: $125
Hospital Supporter: $175
Guest Name:


Guest 5:
General Entry: $125
Hospital Supporter: $175
Guest Name:


Guest 6:
General Entry: $125
Hospital Supporter: $175
Guest Name:


Guest 7:
General Entry: $125
Hospital Supporter: $175
Guest Name:


Guest 8:
General Entry: $125
Hospital Supporter: $175
Guest Name:


If you would like to be seated with other guests but are not registering these guests, please list others who will be joining you: (8 guests per table maximum)

Guest 1:

Guest 2:

Guest 3:

Guest 4:

Guest 5:

Guest 6:

   

Billing Contact Infomation:

 

* First Name:

* Last Name:

* e-mail:


Description of auction items will be emailed ahead of event

* Address 1:

Address 2:

* City:

* State:

* Zip:

* Phone:

( ) - x

 

Fee - General Entry Level:

Fee - Hospital Supporter Level:

I/We would like to make an additional contribution to the New London Hospital Annual Fund:

Amount:

Other Amount ($):

Total Due:

 

Payment Information:

*Credit Card Type:

*Credit Card Number:

*Credit Card Expiration:

/

*Security Code:

Additional event details can be found here or by calling Community Relations and Development at (603) 526-5373

Please Confirm that the following information is correct

First Name: 
Last Name: 
Credit Card Number: ************0000
Amount: $0.00

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