Register Already registered?

REGISTRATION FORM

You MUST select one of the three registration options. If your registration has already been paid, or waived, please check "Paid offline" in addition to the registration option selected.

Registration Options*

Individual ($50.00)
Group Registration ($500.00)
Donation ($0.00)
I cannot attend, but would like to make a donation of support, in the amount shown below!

Donation

$

Paid offline

Special Role

Program Presenter/Speaker
Sponsor
Advertiser
TLCF Staff
Detroit Pershing H.S. Band Alumni (DPHS)

Name*

Company/Organization

Email*

Would you like more information regarding our foundation?

Phone Number

Yes, it's okay to send me text messages including order confirmations, updates, event reminders, and event information. Message frequency varies. Message and data rates may apply. Reply HELP for help, STOP to cancel. View our terms of service & privacy policy.

Address

Previous galas attended?*

Congratulations on attending your first Gala, and we thank you for your support!

Total

$50.00

Billing Information

Secure checkout | PCI compliant

Email*

Name*

Credit Card*Secure Payment

Address*

Safe & Secure Checkout PCI-compliant • 256-bit AES encryption

RegFox Event Registration Software

Event Registration Software by RegFox