Golden Circle Reservation Form

Online Reservation Form
Tickets	Please send me...	Cost
Premier Circle - Seating at the Show	tickets x $550
Dress Circle - Seating at the Show	tickets x $450
General Theatre Seating	tickets x $350
General Theatre Seating (For those 32 years of age and younger)	tickets x $250
	Tickets Total
Fair market value for this event has been established at $150 per ticket; any payment in excess is tax deductible.
Dining Option
Our party would prefer to dine in: Space in each Ballroom is limited. Tables will be reserved in the order received. Tables seat 10 guests
Imperial Ballroom (Rock 'n Roll)
Regency I & II (Big Band)
Club Regent (Late Night Dancing)
Intimate Dining
Group Name
I am unable to attend. Please accept my donation of
Payment Options	Once your RSVP has been submitted, we will contact you with payment information.

If you have a disability that requires a reasonable accommodation, please call the Events Office 408-554-6912 or TTY California Relay 800-735-2929 at least 72 hours prior to the event.