Gala Reservation form

The cost for the Holiday Rose Gala is $60 per person for an evening of live entertainment, full dinner and more. Payment using the form below entails an added $2/reservation to cover the fees we must pay to PayPal – no “shipping and handling” fees are assessed! If you use the form, upon clicking the Submit button you will be taken to the very secure PayPal website; you don’t need to have a PayPal account, just a valid credit card. If you prefer, you can stop by Roseville Parks and Recreation at City Hall and make your reservation(s) in person, or you may choose to download the reservation form and send in payment by mail. Deadline for reservations has been extended to Monday, November 28. If you have ANY trouble using this form, please don’t give up! Send a note using our Contact Us form and we’ll take care of you!

Name:*
Address:
Phone:*
-
E-mail:
Full names of all others in party. We'll use this to make the name badges.
Number of reservations:
Word Verification:

Printable Gala Reservation Form