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The Greenbrier - America's Resort
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White Sulphur Springs, WV
2024 Gala Presenter Ticket Form
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Quantity of Tickets
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Sponsor, Company or Family Name
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Does your guest list vary from Fri. to Sat.? If so, describe here. Also enter here any special seating requests for Fri. and/or Sat. Nights. If none, mark N/A below.
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Sponsorship Level
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Employee ID Number
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Sponsor Listing Preference
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Business and Family Sponsorship Level
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Healthcare Sponsorship Level
Ticketing Options
(Required)
Please select one...
Presenter Ticket - No Charge
Presenter Plus Guest Ticket - $300
Primary Contact (Presenter) Last Name
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Primary Contact (Presenter) First Name
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Presenter's Professional Title
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Replace placeholder text with confirmed guest names; leave as-is if unconfirmed.
Guest Last Name
Guest First Name
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Guest 3 Last Name
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Guest 3 First Name
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Guest 4 Last Name
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Guest 4 First Name
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Guest 5 Last Name
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Guest 5 First Name
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Guest 6 Last Name
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Guest 6 First Name
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Guest 7 Last Name
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Guest 7 First Name
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Guest 8 Last Name
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Guest 8 First Name
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Guest 9 Last Name
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Guest 9 First Name
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Guest 10 Last Name
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Guest 10 First Name
Email
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Phone
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Billing Address
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Street Address
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Do you want to make an additional donation?
How many of your allotted tickets do you plan to use for the 6:00 p.m. Friday Reception and Fiesta?
How many of your allotted tickets do you plan to use on Saturday for the 9:00 a.m. Exhibits Including LUCAS Tour and Coffee/Pastries?
How many of your allotted tickets do you plan to use on Saturday for the 9:45 a.m. Special Sessions including Coffee with the Commissioner?
How many of your allotted tickets do you plan to use on Saturday for the 2:00 p.m. Culinary Demo ft. Chef Aaron Sanchez?
How many of your allotted tickets do you plan to use on Saturday for the 3:30 p.m. Fireside Chat with Ari Fleischer?
How many of your allotted tickets do you plan to use on Saturday for the 6:30 p.m. Reception and Black-Tie Dinner Dance?
Do any dietary restrictions exist for Saturday night? If yes, please add guest name and restriction. If no, please mark N/A below.
(Required)
If your registration includes space for a showcase display Sat. morning 8:30 a.m. to 9:30 a.m., please indicate whether your exhibit will require any table or space greater than the standard 8 ft. table (covered) and two chairs being provided. Answer N/A if not applicable.
(Required)
Will your exhibit require power?
(Required)
Please select one...
No
Yes, standard power
Yes, above-average power/wattage
N/A
Will your exhibit require an easel for signage?
(Required)
Please select one...
No
Yes
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Fund Number
2V422
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Tax Deductible Total
$55 per paid ticket
Total
Please select pay by check if your total is $0.00 to bypass payment.
Choose a payment method
(Required)
Pay By Card
Pay By Check/Invoice
Registrations will not be considered complete until payment is received. Payment should be remitted no less than two weeks prior to the event, as follows:
Make check payable to WVU Foundation
Memo: Cancer Gala
Mail check to:
WVU Cancer Institute
Office of Philanthropy – HSC 1631
P.O. Box 9300
Morgantown, WV 26506-9300
This page is unsecured. Do not enter a real credit card number! Use this field only for testing purposes.
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Card Details
Cardholder Name
Please click submit once. Your registration will be processed in a matter of seconds and a confirmation page will automatically open once complete.
Phone
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