Inglis Bash Registration

We are pleased to announce that the inaugural Inglis Bash is SOLD OUT!

We no longer can accept ticket sales as we are at full capacity. If you would like to make a contribution supporting Inglis’ work to help people with disabilities live independently, please join the League of Heroes below. Thank you again for your interest and support!

Assemble on September 30th

Quantity	Price	Description
	SOLD OUT!	Table of 8 (Includes VIP Reception). Tax deductible gift to Inglis of $300. We will use the contact information from STEP 3 to confirm the names of your guests, which are requested by September 20th.
	SOLD OUT!	Individual Ticket Tax deductible gift to Inglis of $50
	SOLD OUT!	Young friend ticket (under 35)
		I/We can't attend, but please list me as a member of the League of Heroes

Consider Joining The League of Heroes

Please accept my entrance into The League of Heroes with the following additional, fully tax-deductible support to help people with disabilities maximize their independence — and unleash their own super powers. Attendees who join The League of Heroes are invited to the VIP Reception and will be recognized during the evening program.

	$100	Zap! Covers the cost of a central wireless hub that connects existing smart home technology for one member of the Inglis Community.
	$250	Zing! Provides a voice-controlled command center to enable hands-free operation of devices and services.
	$500	Zoom! Gives one person the smart technology needed to see who is at their door from anywhere in their home.
	$1,000	Wham! Wham! Provides the core components to create a smart home for a person living independently.
	$2,500	Pow! Fully outfits one new independent living apartment with a full range of smart home technologies.
	$5,000	Bam! Fully outfits two new independent living apartments with a full range of smart home technologies.
	$10,000	Kaboom! Fully outfits four new independent living apartments with a full range of smart home technologies.
		Other Amount (please fill in) What super powers can you help a member of the Inglis Community maximize?

For more information, contact Page Zettlemoyer at 215.581.0753 or rsvp@inglis.org.

Tell Us How to Reach You (besides using the Bat Signal)

First Name * (as it should be listed in any recognition materials)

Last Name *

Company/Organization (If applicable)

Address *

City *

State *

Zip *

Email *

Preferred Phone

Cell

Home

Work

Payment Information

Amount: $0

Credit Card Number * (no dashes)

Expiration * (mm/yy)

CCV *

Inglis is committed to the privacy of its friends and supporters. The information you provide will not be used for any other commercial or philanthropic purpose, nor will this information be given, lent or sold to any other individual or organization.

Inglis is a tax-exempt 501(c)(3) organization as provided by IRS regulations and is registered as a charitable organization with the State of Pennsylvania. The official registration and financial information for Inglis may be obtained from the Pennsylvania Department of State by calling toll free, within Pennsylvania, 1-800-732-0999. Registration does not imply endorsement.