Seattle Opera Gala Order Form

PERSONAL INFORMATION

First Name*

Last Name*

Address*



City*

State/Province

Country*

Zip/Postal Code*

Daytime Phone*

Evening Phone*

Email*

RESERVATIONS*


$3000		Individual Sponsor Ticket

$1000		Benefactor Ticket

$500		Patron Ticket


		Tables of ten are $5,000, $10,000, and $20,000 and can be reserved by contacting Jennifer Johnson at 206.676.5535 or by email at jennifer.johnson@seattleopera.org. Net proceeds support Seattle Opera. I/We would like to make an additional donation or are unable to attend and would like to make a contribution:
Amount

ADDITIONAL INFORMATION*

Please include the following information in the box below:
1. List the name(s) of all guests, as it should read on the printed program.
2. Indicate if there are other guests attending the gala that you would like to be seated with (if not already included above). Seattle Opera will make every effort to honor your seating request but cannot guarantee that all requests will be accommodated.
3. List any dietary constraints for guests attending in your party.

CREDIT CARD INFORMATION

Credit Card Holder*

Credit Card Type*

Credit Card Number*

Expiration Date*		MM YYYY

Questions? Contact Jennifer Johnson at 206.676.5535 or by email at jennifer.johnson@seattleopera.org

* = Required Field