The Big Bang


The Big Bang at miSci

Friday, May 5, 2017
6 pm – 9 pm
Join us in celebrating a Decade of Discovery with
an evening of fine food, networking and a silent auction!
Yes, I/We would love to attend!

Mr. Mrs. Ms. Dr. Mr. & Mrs Drs. Other
Name: 
Address: 
City:    State:    Zip: 
Phone:  - -   Email: 


Please indicate the number of persons attending in each category below.
Registration will take place at the door – no tickets will be issued.

  Eclipse Corporate Honorary Partner - $500 per Corporate Listing
(includes corporate listing in the event program and two tickets to attend the event)

  Constellation Honorary Member - $200 per person
(includes a listing at Constellation level in the event program and one ticket to attend the event)

  Pulsar Honorary Member - $150 per person
(includes a listing at the Pulsar level in the event program and one ticket to attend the event)

  Regular Ticket - $125 per ticket / $100 under 21 years of age

No, I/We are unable to attend but would like to make a contribution of $


Total $

Select payment option:
Credit Card
I will send in my check, made payable to miSci

Visa MasterCard AmEx Discover
Card Number  Expiration   CSV 
Name on Card 

See Example


RSVP by April 25, 2017.

The tax deductible portion of your ticket is the amount that exceeds $80 per person.

GE donors may register the tax-deductible portion of their gifts by calling 1-800-305-0669 or by visiting www.gefoundation.com/matchinggifts gifts.

Questions? Contact Carmel Patrick (518) 382-7890 ext. 250 or carmel.patrick@misci.org

Blue fields denote required input

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