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Purchasing choices
Table of 10
Individual Ticket
Table of 10 – $1750.00 – will need a Charity name for table purchase
Quantity
*
Price:
$1,750.00
Quantity
Golden Ticket (as add on)
Golden Ticket
Individual Ticket
Quantity
*
Price:
$175.00
Quantity
Golden Ticket (as add on)
Golden Ticket
Full Name
*
First Name
Last Name
Cell Phone Number
*
Email
*
Reservation name (if different)
First Name
Last Name
501(c)3 Charity if buying table
List of guests sitting at the table with phone numbers.
First Name
Last Name
Phone Number
Add
Remove
Total
Payment Method
*
PayPal Checkout
Credit Card
MasterCard
Visa
Supported Credit Cards: MasterCard, Visa
Card Number
Expiration Date
Security Code
Cardholder Name
Comments
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