Ways to Make a Christmas Ball Reservation

 
Barber Christmas Ball Guests may make a reservation online below or mail payment with the downloadable reservation form.  Please download the Reservation/DonationForm and mail with check made payable to the Dr. Gertrude A. Barber Foundation.
 
Mail form and payment to:
 
Barber Christmas Ball
Barber National Institute
100 Barber Place
Erie, PA  16507
 

Untitled Document

Barber Ball Reservation:

*Yes, I/we plan to attend. I would like : at $90.00 each = $asd
   
Please Complete with attendee's information:
*First Name:
*Last Name:
*Address:
* City:
* State:
* Zip / Postal Code:
(Ex: XXXXX or XXXXX-XXXX)
*Phone #:
(Ex: XXX-XXX-XXXX)
* E-mail:
 
Select One:
We do not have a seating preference, please seat us.
Please seat us at the table reserved in the name of
Corporate Sponsorship - Includes a table of ten, website promotion and recognition at the event
Gold Level - $5,000
Emerald Level - $2,500
Tickets are not issued. Please indicate how you would like to receive confirmation of your reservation and seating.
Confirmations will be sent within 5 business days of submission.
Email
Mail
 
If you are purchasing tickets for other guests at this time, please specify their names below separated by a comma.

 
Coupon Code:
 
In addition, I would like to make a tax-deductible contribution:
Founder's Gift $1000.00
Benefactor $500.00
Patron $300.00
Supporter $200.00
Friend $100.00
Other Amount   $
This information is the same as my billing information.

Credit Card Information:

Total Transaction Amount: $xx.xx
* Credit Card Holder Name:
Is this a company credit card?: Yes
No
If so, please list the company:
* Address:
* City:
* State:
* Zip / Postal Code:
(Ex: XXXXX or XXXXX-XXXX)
* Phone #:
(Ex: XXX-XXX-XXXX)
* E-mail:
* Card Type:
* Card Number:
No dashes or spaces.
* Expiration Date: /
* Security Code (CCV):