CENTENNIAL GALA

Saturday, January 17, 2026
at the Masonic Village, Elizabethtown
in the Freemason’s Cultural Center
Brossman Ballroom
Doors open, and social time begins, at 5:30 PM
Dinner and Program will begin at 6:30 PM
Celebrating the spirit and tradition of Rotary International,
there are no pre-assigned seats.
All tickets are for open seating.

Rotary Triplets Centennial Gala Registration

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Company

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Name*

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Email*

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Phone #*

Please give us the BEST number to reach you at in case we need to contact you about this event.

YOUR Rotary Club*

Purchases by members of one of the "Triplets" clubs are being counted (including tickets for family members and friends.) All other purchasers may indicate "Rotary Supporter."

ElizabethtownLititzMount JoyRotary Supporter

Gala Tickets Quantity*

This is used to determine the payment amount so please be sure you have entered the correct number of tickets you wish to purchase.

Price: $125.00

Quantity

Bronze Sponsor (Individual) Quantity

A Bronze Sponsor receives a listing in the Program and on the Digital Display at the Gala. Other sponsorships are available. Please contact Denise Grove for further information at 100rotarygala@gmail.com

Price: $100.00

Quantity

Address*

Please be sure this information matches your credit card or bank record to avoid rejection.

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TOTAL

You must use a credit card to purchase tickets. This is the TOTAL AMOUNT THAT WILL BE CHARGED to you. No transaction fees are included.

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FOOD ALLERGIES

IF you or anyone in your party has a food allergy or requires a gluten free,vegetarian or vegan option, note it here and the caterer will prepare a special meal specifically for them. You will receive a special meal ticket at check-in. If a special meal is ordered, we will not be able to provide a different meal on the night of the event.

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