The Haitian Alliance, Inc.                               One Voice!
Empowering the Haitian Community to Act as One
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Gala for Giving 2010
Saturday, December 11, 2010
7:00 p.m. - 2:00 a.m.

VIP Registration:  $100.00
    
Admits one to the VIP Reception and the Gala
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General Registration:  $75.00

    Admits one to the Gala only
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Members Only Registration:  $60.00
    Admits one member in good standing
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Thank you for registering for our 2009 Gala for Giving online. Every dollar you give here makes a difference. Thank you for your generosity.

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You can give to The Haitian Alliance online with confidence.  We have partnered with Authorize.Net, a leading payment gateway since 1996, to offer safe and secure credit card and electronic check transactions for our donors.  Click on the seal below to authenticate our status with Authorized.Net.

Online Payments

Thank you for helping us to maximize the power of your contribution.

For more information, or to pay for your registration with a check or cash, complete the form below and click submit.

Complete the Gala Registration Form Below
to Pay with Check or Cash Only
To Pay Online, Click the Appropriate "Add to Cart" Button Above
Note: Each guest must register.  Guests whose names are not on the list will not be allowed access to the gala.

To register yourself and your guests, and pay with cash or check, complete the form below for each paid registration.  For example, if you have paid for four tickets, you must complete the form  below four times.  Make checks payable to The Haitian Alliance, Inc., and mail payments to: The Haitian Alliance, Inc., P.O. Box 723725, Atlanta, Georgia 31139-3725.

Registration Date (mm/dd/yyyy):
First Name:
Last Name:
Name of the Host Committee Member who invited you:
Street Address 1:
Street Address 2:
City:
State:
Zip Code: (5 digits)
Home Phone Number:
Cellular Phone Number:
Valid Email Address:


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The Haitian Alliance, Inc.
P.O. Box 723725, Atlanta, Georgia 31139-3725
info@thehaitianalliance.org


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