For more information, please contact Ms. Pamela Lopez at (504) 398-2206 or plopez@uhcno.edu
Name
*
First Name
Last Name
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Sponsorship name if applicable:
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Grad Year if Applicable:
Ex: 1994
How many will be attending?
*
Ex: 4
Sponsorship Levels:
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( X )
1916 Cornerstone Society
$
10,000.00
Spes Unica
$
5,000.00
Quantity
1
2
3
4
5
6
7
8
9
10
Sainte Croix
$
2,500.00
Quantity
1
2
3
4
5
6
7
8
9
10
President
Table of 8
$
1,000.00
Quantity
1
2
3
4
5
6
7
8
9
10
Brother Andre Reservation (One Seat)
$
250.00
Quantity
1
2
3
4
5
6
7
8
9
10
Patron Reservation (One Seat)
$
125.00
Quantity
1
2
3
4
5
6
7
8
9
10
Individual
$
60.00
Quantity
1
2
3
4
5
6
7
8
9
10
Alumni/Faculty/Staff
$
40.00
Quantity
1
2
3
4
5
6
7
8
9
10
Credit Card
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