Tickets & Registration

Fields marked * require an entry.

Package Name	Amount	Quantity	Subtotal
Tickets & Sponsorship Registration

Top Gun (8 included)	$3,750.00		$0.00



Speed of Sound (8 included)	$5,500.00		$0.00



Gemini (8 included)	$7,500.00		$0.00



Apollo (8 included)	$10,000.00		$0.00



Go for Launch (16 included)	$25,000.00		$0.00



Mercury Single Dinner Ticket (Limit 1)	$400.00		$0.00



Space Walk Couple Dinner Tickets (Limit 2) (2 included)	$800.00		$0.00



Reception Sponsor	$2,500.00		$0.00



Wine Sponor	$2,000.00		$0.00



Dessert Sponsor	$500.00	2 Remaining	$0.00

Can't make it? Sponsor a medical volunteer to attend:

Donation Amount:

Total:

$0.00

Discount Code:
(displayed on Confirmation Page)

As a convenience, you may pre-register a credit card on the submission page to charge your purchases at event 34th Annual Fresh Start Butterfly Ball.

I authorize Fresh Start Surgical Gifts, Inc to use the credit card entered on the submission page at event 34th Annual Fresh Start Butterfly Ball. Once the transaction has completed successfully, a confirmation receipt will be sent to the email address entered.

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Tickets & Sponsorship Registration

Can't make it? Sponsor a medical volunteer to attend:

Thank you to our generous sponsors!

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