KVCC Jazz Gala Registration

Single Admission ($50.00)
Couple Admission ($100.00)
Table Purchase (for 8) ($400.00)
Please consider table purchase (for 8) $400.00 - includes 2 KVCC students.
Event Sponsored Table ($0.00)
Please consider table purchase (for 8) $400.00 - includes 2 KVCC students.

Guest Information

Guest 1 Name*

Email*

Mobile Phone Number*

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Guest Two Name

Phone Number

Guest Three Name

Phone Number

Guest Four Name

Phone Number

Guest Five Name

Phone Number

Guest Six Name

Phone Number

Guest Seven Name

Total

$0.00

Billing Information

Email*

Name*

I am representing an organization

Payment Method

Credit Card
Offline/In-Person Payment

Credit Card*

Visa
Mastercard
American Express
Discover

Address*

Mobile Phone Number*

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