for use of staff night of dance
Name *
Title
First Name
Last Name
Please DO NOT USE SYMBOLS in these fields.
Address *
Address Line 1
Address Line 2
City
State
Zip
Email *
Number of event tickets
x $200.00
Tickets to the barn dance are $200 each. Purchase a table (ten tickets) for $1800. Call the office to buy a table. 732 446 0945
Who would you like at your table or other notes
If you have a question or would like to indicate who you would like to sit with, please share here. Also, if you are part of a sponsorship, please note that here.
Option A General Raffle
x $50.00
50 General Raffle Tickets for Baskets only
Option B Wheel of Hope Raffle
x $50.00
One ticket per spin- guaranteed prize
Option C Combo PACK
x $100.00
50 General Raffle Tickets and 1 Wheel of Hope Raffle Ticket
 Would you like to cover the processing fee?

(732) 446-0945 | 118 Federal Rd. Monroe, NJ 08831

Non Profit Tax ID Number 22-3667820