Ticket Purchase

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Fields marked * require an entry.

**Streamline your check-in! Check the green box at the bottom of the page to complete your registration and store your card for the event!

Package Name	Amount	Subtotal

Gala Ticket	$300.00	$0.00

Total:

$0.00

Discount Code:
(displayed on Confirmation Page)

As a convenience, you may pre-register a credit card on the submission page to charge your purchases at event.

I authorize Northwest Kidney Centers to use the credit card entered on the submission page at event. Once the transaction has completed successfully, a confirmation receipt will be sent to the email address entered.

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