*
Required
Purchaser Information
First Name
*
required
Last Name
*
required
Company
Phone
*
required
Email
*
required
Are you a current JSerra family?*
(Do you currently have a student enrolled at JSerra?)
Yes
No
Ticket Options
Are you a current JSerra student or staff member? Or alumni?*
(Please answer this question to view ticket options.)
No
Yes - Current Student
Yes - Current Staff
Yes - Alumni
Graduation Year
*
required
Please indicate the year you graduated if you are an alumni, or your expected year of graduation if you are a current student.
Purchase Options*
What type of purchase are you making today?
Table for 10 Guests
Individual Tickets
Confirm Table Purchase
*
required
Please check the box below to confirm your purchase of a table for 10 guests.
I wish to purchase a table for 10 guests. I will be determining the guests who will sit at my table.
Table Guests
Please add the names of your table guests, if known at this time:
Adult Tickets ($100 each)
*
required
Note: you will have the option in this form to add the name(s) of the guest(s) for each ticket purchased, if desired.
Charge:
0.00
Student, Staff, and Alumni Tickets ($25 each)
*
required
Note: you will have the option in this form to add the name(s) of the guest(s) for each ticket purchased, if desired.
Charge:
0.00
Staff Member Name:
*
required
Please indicate the name of the staff member for whom you are buying a ticket (or tickets).
TOTAL
Please send a confirmation email to the address below*: