Thank you for supporting our 30th Anniversary Gala

If you purchased multiple Individual Gala tickets, or Multi-seat Support Level Gala tickets, please include your guest’s names below.

Please note the number of seats included with each level.

Individual Young Patron – ($100) – Includes 1 Seat
Individual ticket – ($300) – Includes 1 Seat
Patron Sponsor – ($1000) – Includes a total of 2 Seats
Bronze Sponsor – ($2,500) – Includes a total of 4 Seats and an ad
Silver Sponsor – ($5000) – Includes a total of 8 Seats and silver level ad
Gold Sponsor – ($10,00) – Includes a total of 10 Seats and Gold level ad

Gala Purchaser's Name

Purchaser's Email Address

Your Name: How would like to be listed on seating chart and program book

Guest Name 2

Guest Name 3

Guest Name 4

Guest Name 5

Guest Name 6

Guest Name 7

Guest Name 8

Guest Name 9

Guest Name 10

Would you like your name included in our "Thank You List of Donors?" This list may be published in print or electronically. Would you like your name included in our "Thank You List of Donors?" This list may be published in print or electronically. Yes, please include my name in Thank You list of donors No, do not include my name in thank you list of donors

Please contact Kathy O’Mara if you have any questions at (267) 218-3325‬ or by email at kathy@cancersupportphiladelphia.org.