| My Information |
| Parent |
Grandparent |
| First Name |
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| Last Name |
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| Email |
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| Phone Number |
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| Street Address |
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| City, State |
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| Zip Code |
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| Admission & Raffle Tickets |
Admission $50 per person
*Each admission comes with 1 Raffle Ticket |
Admission Tickets |
Additional Raffle Tickets:
$10 each OR
3 tickets for $25 OR
10 tickets for $70 |
|
|
Sponsorships |
Celebration Sponsor
$1,800
4 complimentary tickets & 15 raffle tickets |
Gold Sponsor
$1,000
2 complimentary tickets & 10 raffle tickets |
Silver Sponsor
$500
1 complimentary ticket & 5 raffle tickets |
| Payment Information |
| Name on Credit Card |
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Credit Card Type |
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| Credit Card Number |
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| CVV Code |
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| Exp. Date |
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| Amount to be Charged |
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| Billing Street Address |
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| Billing City, State |
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| Billing Zip Code |
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