Purchase your WYA Ball Tickets

First Name: *

Last Name: *

Address Lines (Please Provide Complete Address)

Email *

Are you a WYA Member? *

Yes, I am a WYA Member

No, I am not a WYA Member

Birthdate * +

Quantity of Member tickets ($100 each) *

Quantity of Non-Member tickets ($200 each) *

*become a WYA member here.

__________________________

I am unable to attend but would like to make a gift to the World Youth Alliance of

$100

$250

$500

$1,000