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*First name

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Additional Guests

*Donation amount ($125.00/guest)

Dinner choice

Chicken

Vegetarian

Please select one of the following if you will be donating a sponsorship:

Patron tickets $500

Silver Sponsor $1000

Gold Sponsor $2500

Platinum Sponsor $5000

Diamond Sponsor $7500

Presenting Sponsor$10000

None

North Pole Charity ICU Gala

Jun 14, 2025, 5:30 PM – 9:00 PMTerry Hills Golf Course & Banquet Hall

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