Name
First Name
Last Name
E-mail
example@example.com
Phone Number
Event Sponsor's/Community Supporter's Name
(Business, Organization)
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Purchase Tickets, a Sponsorship, or Donate!
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Tickets for Music Bingo
$
50.00
Quantity
1
2
3
4
5
6
7
8
9
10
Business Sponsorship
(includes 2 tickets to event)
$
500.00
Community Supporter Sponsorship
(includes 1 ticket to event)
$
250.00
Donation
$5, $10, $25, or any amount you please!
$
1.00
Enter Amount
Payment Methods
Debit or Credit Card
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
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the form.
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