Barnesville School -> Giving -> 2012 Spring Gala & Auction -> Order Raffle Tickets

Giving > 2012 Spring Gala & Auction > Order Raffle Tickets >

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NAME

First*

Last*

HOME ADDRESS

Street*

City*

State*

Zip*

PHONE NUMBER

Barnesville Affiliation

I am a/an

	Alumnus/a		Parent		Past Parent		Grandparent
	Student		Staff/Faculty		Trustee		Friend

EMAIL ADDRESS

How Many Tickets Would You Like?

Value-Pack of 140 tickets		@ $100.00
Sheet of 20 tickets		@ $20.00

Form Total: $0.00

Ticket Delivery

Please indicate how you would like to receive the tickets.

	Send Home in Kids' Mail
	Hold at Will Call

CREDIT CARD INFORMATION

Name on Card*

Credit Card Type*

Credit Card Number*

Expiration Month*

Expiration Year*

CCV*