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Secure Event Tickets

Thank you for purchasing tickets to a HALSA event. Proceeds will be used to help stop HIV discrimination and eliminate injustices for people living with HIV and AIDS in Southern California.

 

Please provide the requested information so that we can process your transaction.

 

Personal Information

Title:
First Name:
Last Name:
Street:
City:
State:
Postal/Zip code:
Email:
Daytime Phone:
 

Privacy Policy: HALSA values and protects your personal information. We do not sell or share donor information with outside organizations or individuals.
 

Ticket Quantity

Please indicate your ticket selection:

1 Standard ($175)
2 Standard ($350)
3 Standard ($525)
4 Standard ($700)
5 Standard ($875)
6 Standard ($1050)
7 Standard ($1225)
8 Standard ($1400)
9 Standard ($1575)
10 Standard ($1750)
 

Credit Card Information

Please type the cardholder name as it appears on the credit card.

Cardholder Name:
Credit Card #:
Security Code (CVV2):
Card Type:
Expiry:
 

Your guests

Tickets will be held at the door by name. If you purchased more than a single ticket, please indicate the full names of your guests below. If you aren’t sure who will be attending with you, just write “call me to confirm” and we’ll give you a call at the number provided above about a week before the event to confirm the names of your guests.