Gala Ticket Purchase Form Gala Ticket Purchase Form If you are a human and are seeing this field, please leave it blank. Fields marked with a * are required. Name * Address 1 * Address 2 City * State * Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampsire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip / Post Code * Phone * Email * Number of tickets being purchased at $100 each * Please list the names of those who will be attending Total Method of payment: * PayPal Visa Discover Mastercard Check If paying by PayPal or credit card, please click on the PayPal button below. If paying by check, please mail your remittance to Children's Museum of Oak Ridge, 461 West Outer Drive, Oak Ridge, TN 37830. If paying in cash, please bring your payment to Children's Museum at that address.