Prevent Child Abuse Utah
presents

"Gala at the Grand"
The 24th Annual Benefit Dinner & Auction
Friday, October 7th, 2011 at The Grand America Hotel

Cocktails & Silent Auction: 5:30 p.m.
Dinner: 7:30 p.m.
Live Auction: 8:30 p.m.

Dress: Best Dress (Black tie invited)

Driving Directions to The Grand America Hotel

Online RSVP Form


*Primary Contact*
First Name*
 Last Name*
 Company or Table Name
Address*
 Email*
 Phone Number*
City*
 State*
 Zip*
*Required Fields

*Sponsorship Opportunities*

$10,000 Sponsor ($8800 tax deductible portion of sponsorship)

~One table, best location
~Primary logo placement
~Exclusive acknowledgments
$ 5,000 Sponsor ($4400 tax deductible portion of sponsorship)

~One table, best available location
~Primary logo placement
~Acknowledgments
$ 2,000 Sponsor ($1400 tax deductible portion of sponsorship) ~One table, best available
~Acknowledgments
None of the above  

*Registration Type if not a Sponsor*
$1500 Table (10 seats)
($900 tax deductible portion of sponsorship) 		Individual ($150)
($90 tax deductible portion of dinner ticket)
Couple ($300)
($180 tax deductible portion of dinner tickets)		 Guest(s) of a captained or sponsored table (Enter guest names below.)

*Submission of Guest Names*
I am submitting all guest names now. I will contact Gina DeSantis at 801-393-3366 or gina@pcautah.org with guest names by 9/23/2011.

*Guest Names*
First Name (Guest 1)
 Last Name
 Company or Table Name
Address

 Email
 Phone Number
City
 State
 Zip
First Name (Guest 2)
 Last Name
 Company or Table Name
Address

 Email
 Phone Number
City
 State
 Zip
First Name (Guest 3)
 Last Name
 Company or Table Name
Address

 Email
 Phone Number
City
 State
 Zip
First Name (Guest 4)
 Last Name
 Company or Table Name
Address

 Email
 Phone Number
City
 State
 Zip
First Name (Guest 5)
 Last Name
 Company or Table Name
Address

 Email
 Phone Number
City
 State
 Zip
First Name (Guest 6)
 Last Name
 Company or Table Name
Address

 Email
 Phone Number
City
 State
 Zip
First Name (Guest 7)
 Last Name
 Company or Table Name
Address

 Email
 Phone Number
City
 State
 Zip
First Name (Guest 8)
 Last Name
 Company or Table Name
Address

 Email
 Phone Number
City
 State
 Zip
First Name (Guest 9)
 Last Name
 Company or Table Name
Address

 Email
 Phone Number
City
 State
 Zip
First Name (Guest 10)
 Last Name
 Company or Table Name
Address

 Email
 Phone Number
City
 State
 Zip

*Payment Options*
Invoice Billing Contact Mailing Check Charge Credit Card
My tickets are covered through an existing table purchase or company sponsorship.

*Credit Card Information* (if applicable)
Visa MasterCard American Express Discover
Credit Card Number
 Expiration Date
 Security Code

Pre-register this credit card to pay for all purchases at the "Gala at the Grand" (silent & live auction, raffle, etc.) and avoid the line at checkout*
Don't pre-register this credit card (if applicable).
*You may revisit this page anytime, re-enter your primary contact and credit card information,
click "Pre-register..." above, then "Submit Registration" at the bottom to pre-register a credit card.

*Billing Contact Information*
(matching credit card used, if any, or if different than your information above)
Billing Contact - First Name
 Last Name
 Company
Address
 Email
 Phone Number
City
 State
 Zip

Rooms are available at these discounted rates:
Premier Room: $239.00 (The Grand America)
Executive Suite: $194.00 (The Grand America)
Tower Room: $99.00 (The Little America)
Garden Room: $79.00 (The Little America)

Please call 1-800-621-4505 and mention this event to reserve a room on Friday, October 7th, 2011..

Prevent Child Abuse Utah is a 501(c)(3) nonprofit organization
under the regulations of the Internal Revenue Service.

Thank you!

This charge will appear on your credit card statement as follows:

"Prevent Child Abuse Utah Ogden, UT"

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