Recital 50/50 Raffle Ticket - Win Cash!
Questions marked by * are required.
1.
Name: *
2.
Email: *
3.
Please make your selection below: *
$1.00 each
20 for $25
4.
How many tickets are you purchasing? *
5.
Please indicate your payment type: *
Credit Card (this is a secure form)
Check
Cash
6.
Card number (if paying by credit card):
7.
Expiration date (mm/yy):
8.
CVV code (3 or 4 digit # from the back of the card):
9.
Billing zip code:
10.
Where do you wish to pick up your tickets? *
At the Studio
At Gulf Coast H.S. on the day of the dress rehearsal or dance recital
11.
Message (if any):