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Menu
Home
About Us
Board Members
Medical Advisory Board
Advisory Board
IACan Partners & Sponsors
Gallery
Awards
Testimonials
Get Involved
Volunteer
Donate
Projects
SAHNA SURVEY
SPIRITUALITY PROJECT
Services
COMMUNITY EDUCATION PROGRAM
PHYSICIAN SUPPORT
SURVIVOR ACTIVITIES
Programs
Marrow Program
Marrow Testimonials
MIND-BODY HEALING YOGA
Mammogram
Resources
Health & Nutrition
Financial Assistance
Legal Resources
Religious Places
Funeral Homes With Cremation Services
Research
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Contact
Gala Registration
You can with IACAN- Gala 2022 Registration
Saturday September 10th, 6:00PM, Sugarcreek Country Club
First Name
*
Last Name
*
Email Address
*
Phone
Street Address
Apartment, suite, etc
City
State/Province
ZIP / Postal Code
Do you want to attend the event?
*
Yes
No
Do you want to sponsor table (s)?
Yes
No
Sponsorship Options
*
Visionaries table $20,000
Champions table $15,000
Hope table $10,000
Advocates table $5000
Event Ticket
*
Event Ticket ($500 per ticket)
Please state the number of event tickets you need ($500 per ticket)
*
Attendee 2
First Name
*
Last Name
*
Email Address
*
Phone
Street Address
*
Apartment, suite, etc
City
*
State/Province
*
Meal Preferences
*
Vegetarian
Non vegetarian
Attendee 3
First Name
*
Last Name
*
Email Address
*
Phone
Street Address
*
Apartment, suite, etc
City
*
State/Province
*
Meal Preferences
*
Vegetarian
Non vegetarian
Attendee 4
First Name
*
Last Name
*
Email Address
*
Phone
Street Address
*
Apartment, suite, etc
City
*
State/Province
*
Meal Preferences
*
Vegetarian
Non vegetarian
Attendee 5
First Name
*
Last Name
*
Email Address
*
Phone
Street Address
*
Apartment, suite, etc
City
*
State/Province
*
Meal Preferences
*
Vegetarian
Non vegetarian
Attendee 6
First Name
*
Last Name
*
Email Address
*
Phone
Street Address
*
Apartment, suite, etc
City
*
State/Province
*
Meal Preferences
*
Vegetarian
Non vegetarian
Attendee 7
First Name
*
Last Name
*
Email Address
*
Phone
Street Address
*
Apartment, suite, etc
City
*
State/Province
*
Meal Preferences
*
Vegetarian
Non vegetarian
Attendee 8
First Name
*
Last Name
*
Email Address
*
Phone
Street Address
*
Apartment, suite, etc
City
*
State/Province
*
Meal Preferences
*
Vegetarian
Non vegetarian
Attendee 9
First Name
*
Last Name
*
Email Address
*
Phone
Street Address
*
Apartment, suite, etc
City
*
State/Province
*
Meal Preferences
*
Vegetarian
Non vegetarian
Attendee 10
First Name
*
Last Name
*
Email Address
*
Phone
Street Address
*
Apartment, suite, etc
City
*
State/Province
*
Meal Preferences
*
Vegetarian
Non vegetarian
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*
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