Online Ticket Order Form - Recognition Dinner Name* First Last Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Email* Enter Email Confirm Email Opt Please check this box if youʻd like to sign up for our eNewsletter. "LOVE" SPONSOR $3,000 QuantityGala Recognition as event sponsor in program booklet, Reserved Table of 8 and Company logo on the FCJCEH website for one year. Price: $3,000.00 Quantity "HARMONY" SPONSOR $2,000 QuantityGala Recognition as event sponsor in program booklet, Reserved Table of 8 and Company logo on the FCJCEH website for 6 weeks. Price: $2,000.00 Quantity "COMPASSION" SPONSOR $1,500 QuantityGala Recognition as event sponsor in program booklet, Reserved Table of 8. Price: $1,500.00 Quantity SINGLE TICKETS $125 QuantityGala Recognition as event sponsor in program booklet plus 1 ticket to the Gala Price: $125.00 Quantity Total $0.00 After you submit this completed form, please print out the confirmation page as your receipt and bring it with you to the Recognition Dinner for the Friends of the Children's Advocacy Center of East Hawai'i.