Bella Noche Dinner & Dance ✨
Register your tickets and enter each attendee’s entrée choice for this dry, elegant evening.
Purchaser Information
Purchaser Full Name
*
First Name
Middle Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Attendee Details
Attendee 1 Name
First Name
Last Name
Attendee 1 Entrée Choice
Seafood Scampi
Prime Rib
Attendee 2 Name
First Name
Last Name
Attendee 2 Entrée Choice
*
Seafood Scampi
Prime Rib
Attendee 3 Name
First Name
Last Name
Attendee 3 Entrée Choice
Seafood Scampi
Prime Rib
Attendee 4 Name
First Name
Last Name
Attendee 4 Entrée Choice
Seafood Scampi
Prime Rib
Attendee 5 Name
First Name
Last Name
Attendee 5 Entrée Choice
Seafood Scampi
Prime Rib
Attendee 6 Name
First Name
Last Name
Attendee 6 Entrée Choice
Seafood Scampi
Prime Rib
Dietary and Accessibility Notes
Dietary restrictions or food allergies
Special requests or accessibility needs
Acknowledgments and Terms
Acknowledgment: Bella Noche is a dry event and no alcoholic beverages are permitted
*
I agree
Acknowledgment: Tickets are $50 per person and the reservation is not confirmed until payment is completed
*
I agree
Agreement: Ticket sales are final unless the event is canceled, and I confirm the attendee and meal-selection information is accurate
*
I agree
Order and Payment
Payment
*
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Bella Noche Dinner & Dance Ticket
Bella Noche Dinner & Dance ticket
$50.00
$
50.00
Quantity
1
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10
Payment Methods
Credit Card
Apple Pay
After submitting the form, you will be redirected to Apple Pay to complete the payment.
Google Pay
After submitting the form, you will be redirected to Google Pay to complete the payment.
Cash App Pay
After submitting the form, you will be redirected to Cash App Pay to complete the payment.
ACH Bank Transfer
Purchase Tickets
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