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SINGO Fundraising Night at The Vixen
Name
*
$
First Name
Last Name
$
One Time
Recurring
Address
*
$
Address Line 1
Address Line 2
City
State
Zip
$
One Time
Recurring
Phone
*
$
$
One Time
Recurring
Email
*
$
$
One Time
Recurring
Adult Tickets
*
$
$
x $20.00
One Time
Recurring
13+ Under Tickets
*
$
$
x $10.00
One Time
Recurring
Note
*
$
$
One Time
Recurring
Yes, I will cover the 3% processing fee to help my donation.