Seventeenth Annual Awards Ceremony and Dinner Online Registration

Use the form below to purchase your tickets to the If Given A Chance Awards Ceremony and Dinner on Friday, May 6 2011. Your submission will be routed through our secure PayPal payment gateway where you may use your Visa, Mastercard, American Express, Discover, ATM or your own PayPal account. As always any information you submit will be kept in confidence and never shared.

Contact Information

All fields are required.

First Name:
Last Name:
Address:
City:
State:
Zip:
Phone:
Email:

Tickets

Please specify how many of each tickets you'd like to reserve for your party.

Adults:
$30 each

Students:
$15 each