Talent Showcase Fundraiser -- General Admission
June 29 @ 3:00 PM - 6:00 PM | Please fill out this form and click submit.
Name
*
Email
This address will receive a confirmation email
Phone
Payment
1 Adult ($10)
2 Adults ($20)
3 Adults ($30)
4 Adults ($40)
5 Adults ($50)
1 Child (age 12and under) ($5)
2 Children (age 12and under) ($10)
3 Children (age 12and under) ($15)
4 Children (age 12and under) ($20)
Cash
Donation
1 Adult ($10)
2 Adults ($20)
3 Adults ($30)
4 Adults ($40)
5 Adults ($50)
1 Child (age 12and under) ($5)
2 Children (age 12and under) ($10)
3 Children (age 12and under) ($15)
4 Children (age 12and under) ($20)
Cash
Donation
Amount
Cash
Credit/Debit Card Number
Expiration Date/CVC
Name on Card
Card Billing Address
AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
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MH
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MO
MP
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MT
NB
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NM
NS
NT
NU
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OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
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WV
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YT
Submit
Description
June 29 @ 3:00 PM - 6:00 PM
Please fill out this form and click submit.
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