2012 Museum Gala

Secure Online Registration Form

General Information
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Gala Tables Each Table seats 10
MiaSci 10th Anniversary Mercury Sponsor @ $10,000 each: Benefits include: a prime table for 10 at the Gala; Sponsor recognition on Museum gala webpage, blog and Facebook event page; Half-page program advertisement.
Standard Table(s) @ $5,000 each: Table for 10
Individual Gala Tickets
$500 each:
Raffle Tickets: $10,000 Cash Prize
Suggested Donation $100:	Tickets:
Guest List
Names of persons attending:
Advertising
Inside Front Cover $3,000:
Full-page Inside $300:
Gobo: fixed logo projection inside main event $2,500:
Donation
I am unable to attend but wish to make a tax deductible donation for:	$
Payment Information
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