Welcome to the Propeller
Online Event Registration


Take flight for a memorable night...come and see how our community hospital soars!
Your boarding pass to The Propeller will include:

$2,000 in "Funny Money" for Monte Carlo Style Gaming

Complimentary in-flight beverages

Stations of culinary delights that will be more than just peanuts and pretzels...

Dancing and limbo to the beat of Mango Groove

"Photo Booth" style photos next to vintage airplanes

Free parking and trolley service from Newport Middle High School directly to the event "E" terminal at Newport Airfield

 

Please select the number of people you are registering at each level

General Entry Boarding Pass:
$100 / person


Hospital Supporter Boarding Pass:
$150 / person
($50 of this ticket is a tax-deductible donation to support the hospital)

 

Please list the full name of the people you are registering:

Passenger 1:

Passenger 2:

Passenger 3:

Passenger 4:

Passenger 5:

Passenger 6:

Passenger 7:

Passenger 8:

 

If you would like to be seated with other guests but are not registering these guests, please list others who will be joining you:

Guest 1:

Guest 2:

Guest 3:

Guest 4:

Guest 5:

Guest 6:

   

Billing Contact Infomation:

 

* First Name:

* Last Name:

* e-mail:

* 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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