2023 FUNDRAISER REGISTRATION

* First Name

* Last Name

* Email Address

Please double check that you have typed this in correctly. Your confirmation email will be sent to this email address.

PLEASE NOTE:

You must select a payment method BEFORE filling out this form and ticket options and prices will appear below.

* Please select your payment method:

TICKETS

TICKETS: How many tickets are you purchasing @ $195pp?

TABLE: How many tables are you purchasing @ $1,800 for 10 people?

PLEASE NOTE: Table of 10 MUST be paid by the person filling out this form.

DONATION: If you are unable to attend and would like to make a donation, please enter that amount here

Please enter numbers ONLY. No commas or symbols

RAFFLES

SPECIAL RAFFLE TICKETS
$50 FOR 1 TICKET OR GROUPS OF 3 FOR $100
Special raffle tickets will be distributed at the Fundraiser so you can pick your prizes at the event! If you are not attending the Fundraiser but would like to participate in the raffle, please call the office at 914-725-5175 to select which raffles you wish to purchase.

SPECIAL RAFFLES INCLUDE
"THE BEV" iPhone 14 Pro - $1000 value
"THE DAVID" Various Restaurant Gift Cards - $350 value
"THE KAREN" Various Home Decor Gift Cards - $350 value
"THE GARY" Various Fashion Gift Cards - $450 value
"THE DONNA" Various Vacation Gift Cards and Maui Jim Sunglasses - over $600 value

SPECIAL RAFFLE TICKET - $50 PER TICKET

SPECIAL RAFFLE TICKET DEAL - Group of 3 raffle tickets @ $100

50/50 RAFFLE TICKETS

50/50 RAFFLE: 50/50 RAFFLE TICKETS @ $100

WINE PULL

$36 PER MYSTERY BOTTLE OF WINE FROM OUR WINE WALL

Your Total if Paying by Credit Card

If you are paying by check, this field will appear blank.

Fri, March 24 2023 2 Nisan 5783