Ticket Information

I would like to purchase tickets at $200 per ticket
($75 per ticket is tax deductible)
I would like to be recognized as a Gala Patron at $500 (includes two Gala tickets, $250 is tax deductible)
I would like to be recognized as a Pinwheel Patron at $1,000 (includes two Gala tickets, and three raffle tickets, $500 is tax deductible)
I would like to be recognized as an individual Promise Patron Table Sponsor at $3,500 (includes ten Gala tickets, $2,250 is tax deductible)
I would like to be a Corporate Table Sponsor at $5,000 (includes ten Gala tickets, $3,750 is tax deductible)

I would like to make an additional donation to North Carolina Children's Hospital for: $

This gift is:
In honor of
In memory of

Please send acknowledgement of this tribute to:
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Address 2
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Credit Card Information

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MI
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