Register for the Sapphire Soirée Celebrate 65 years of faith & service by the Benedictine Women of Madison at Holy Wisdom Monastery at the Sapphire Soirée on Wednesday, July 25, 2018. Sign up now to reserve your seats! Please fill out the form below to pay with your PayPal account, or with a credit card if you do not have a PayPal account. You will be asked to either log in to your PayPal account on the right side of the screen, or click 'Continue' to use your credit card on the left side of the screen. You can also download a registration form and mail it in with a check or credit card number. Tickets are $75 per person. Register by July 11, 2018. Registration will close when full. Please contact Janet Neurauter at 608-836-1631, x124 or firstname.lastname@example.org if you have any problems registering. Name* First Last Please enter your first and last name as it appears on your PayPal account or on your credit card account.Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Please enter your mailing address as it appears on your PayPal account or on your credit card account.PhonePlease enter a phone number in (###) ###-#### format in case we need to reach you about this transaction.Phone type Home Cell Work Email* Please enter the email address associated with your PayPal account, as well as the address where we will email you confirmation about the event.Number of Sapphire Soirée tickets0 Sapphire Soirée tickets (I will make a donation to support the event)1 Sapphire Soirée ticket2 Sapphire Soirée tickets3 Sapphire Soirée tickets4 Sapphire Soirée tickets5 Sapphire Soirée tickets6 Sapphire Soirée tickets7 Sapphire Soirée tickets8 Sapphire Soirée ticketsPlease select the number of adult tickets you would like to purchase at $75 per ticket.Name of person #1 First Last Entrée choice of person #1ChickenPortabella MushroomName of person #2 First Last Entrée choice of person #2ChickenPortabella MushroomName of person #3 First Last Entrée choice of person #3ChickenPortabella MushroomName of person #4 First Last Entrée choice of person #4ChickenPortabella MushroomI'd like to further the mission by sponsoring my favorite year(s) between 1953-2018. The sponsorship will be recognized at the event.0 years1 year2 years3 years4 years5 years6 yearsFavorite years (list year(s) you wish to sponsor)I would like to make a donation to support the life and work of Holy Wisdom Monastery. Total donation $0.00 This amount will be charged to your PayPal account or your credit card. Please click on the button below to leave our website and continue payment through PayPal. This iframe contains the logic required to handle Ajax powered Gravity Forms.