GALA – Samaritan Health & Wellness

The Westin Cape Coral Resort at Marina Village

Attire: Black Tie

Gala Registration

Please provide your registration information below along with your desired sponsorship and/or number of tickets.
For the benefits for each sponsorship level, click here.

First Name

Last Name

Business

Address

City

Zip

Your Email

Confirm Email

Sponsorship Options*
For the benefits for each sponsorship level, click here.

Sponsorship Options

Diamond $10,000 (with 10 tickets/table) Platinum $5,000 (with 8 tickets/table) Gold $2,000 (with 4 tickets) Silver $1,000 (with 2 tickets) Bronze $500 (tickets are not included) Hosted Bar $10,000 (with 10 tickets/table) Event Reception Hors d'oeuvres $5,000 (with 8 tickets/table) Wine Service $5,000 (with 8 tickets/table)

Tickets - $175 each
If you have selected a sponsorship that includes tickets, please enter the number of tickets that correspond to your sponsorship level.

Number of Tickets

Guests at my table
Please list food preferences for each: short ribs, salmon, chicken, vegetarian.

Details for each guest

* RequiredMake checks payable to
Samaritan Health and Wellness Center, Inc.
and remit to
Samaritan Health & Wellness
643 Cape Coral Parkway East, Unit B
Cape Coral, FL 33904