Event Payment Form
Complete this form to pay for the CIC GALA event
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
CIC GALA Ticket
*
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CIC GALA Admission
Entry ticket for the CIC GALA event.
$
50.00
Payment Methods
Debit or Credit Card
Choose from one of the PayPal options to
make your payment.
Pay $50
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