Purchase Tickets

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Package Name	Amount	Subtotal
Please enter guest info under Additional Information section.

Individual	$250.00	$0.00



Full Table (10 included)	$2,500.00	$0.00

Yes, I would also like to make a Fund A Cure donation.

Amount:

Total:

$0.00

As a convenience, you may pre-register a credit card on the submission page to charge your purchases at event 2018 Promise Ball.

I authorize Breakthrough T1D - Greater CT and Western Mass Chapter - 4090 to use the credit card entered on the submission page at event 2018 Promise Ball. Once the transaction has completed successfully, a confirmation receipt will be sent to the email address entered.

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Please enter guest info under Additional Information section.

Yes, I would also like to make a Fund A Cure donation.