Registration Options

REGISTRATION | ENREGISTREMENT

*This event requires proof of age of majority, guests must 19 years of age or older.

Table of 8

Quantity

x =

Please list the first and last names of your table guests
Veuillez indiquer les noms et prénoms des invités de votre table

Would you like to make an additional gift towards highest priority equipment needs in our Hospital?
Souhaitez-vous faire un don supplémentaire pour répondre aux besoins les plus prioritaires de notre hôpital ?

Amount

$500

$250

$100

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