Buy tickets for the 2023 Spring Benefit

Please fill out the form below and click "Submit" when done. If you need help with this form, please contact [email protected] or call 617-559-6075

RSVP

Are you able to attend? Are you unable to attend but would like to make a donation?(Required)

Please select your availability to attend the event.

Yes, I/We would be delighted to attend the in person UOD 2023 Spring Benefit. Please select "Sponsor," "Advocate," "Suppporter" or "Friend" level of support below.

NO, I/We cannot attend but would like to purchase (select "Purchase tribute message") and submit a tribute message below for the program book by April 17, 2023

NO, I/We cannot attend but would like to make a donation to support UOD. (Enter your contact information and then scroll down to enter your donation amount in "Unable to Attend- Donation only")

Contact Information

Name(Required)

First Last

Name

First Last

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email(Required)

Enter Email Confirm Email

Phone

Level of Support

Please choose your level of support. If your level of support includes a tribute message, we invite you to honor UOD and our leadership awardees or others of your choice in your personal way by submitting the message in the box later in this form.

Check here if you do NOT plan to submit a tribute message.

Tickets only, no tribute message

Sponsor

Table for 10, full page tribute ad included - submit message below

Price: $3,000.00

Advocate

Half table for 5, half page for tribute ad included - submit message below

Price: $1,500.00

Supporter

2 tickets, one quarter tribute ad included - submit message below

Price: $750.00

Friend

1 individual ticket; purchase tribute message separately below

Price: $250.00

Names of Attendees

For each ticket purchased, please enter the first name, last name and dinner entree selection of the individual attending the Spring Benefit. Click the '+' to add additional names. Please scroll down to "Accessibility and Accommodations" to let us know about any dietary restrictions you or your guests have.

First and Last Name

Dinner Entree Selection - Chicken or Vegetarian (choose one)

Unable to Attend - Donations Only

Donation Amount

Please include amount of donation

Tribute Message - Deadline April 17, 2023

Purchase Tribute Message

One eighth page for $125; One fourth page for $250. Please enter either $125.00 or $250.00

Price: $0.00

Submit Tribute Message

Honor UOD and our leadership awardees or others of your choice in your personal way with a tribute message in the program book. Please type your tribute in the box below or send to [email protected]

Accessibility and Accommodations

As a leader in disability awareness education, UOD is committed to ensuring our event is accessible. The building is accessible and ASL interpreters are part of the program. We will honor requests for reasonable accommodations made by individuals with disabilities. Requests can be served more effectively if notice is provided at least 10 days before the event (Sunday, April 23, 2023). You can submit information below or direct accommodation requests to [email protected]

Dietary restrictions:

There will be a vegetarian and gluten free options available. Please inform us of any other dietary restrictions necessary for you or your guests.

Special accommodations needed:

Please inform us of any special accommodations needed for you and your guests. Please include name of guest(s) in parentheses.

Please let us know if there is anything else you need to share with us.

Total

Payment Method(Required)

Please choose the way in which you would like to submit your payment. If you select "Pay Online", you will be redirected to Paypal and can pay using Paypal or a debit or credit card.

Pay Online: I would like to register AND pay online right now. Please redirect me to Paypal where I use Paypal OR a debit or credit card to purchase.

Send a Check: I would like to register now, but prefer to pay by check or another method.

Comments

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