Palmetto Community Care Logo
2019 GAY BINGO! Thank you for supporting Palmetto Community Care. Please select your contribution level below. Reserved Table $600, VIP Reserved Table $900, VIP Plus Table $1,800 or you can select 'Other' and enter your sponsor amount.
$600
$900
$1,800
Other
Donation Amount
$
Contact information
First Name
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Last Name
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Mobile Number
Email
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Address
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City
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State
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Zip
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How would you like to be acknowledged (name, company, organizations, etc)? Please note we will use this on the website, at the event and in marketing materials. Creative names are encouraged!
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How would you like to receive tickets?
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Select Option
via email
will call at event
Card information
Card Number
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Expiration Date
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Select a credit card type.
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Expired Credit Card
CVV
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What is this?
Discover, Mastercard, Visa
3-Digit Card Verification Number
American Express
4-Digit Card Verification Number
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Please make sure the following amount is correct:
$0.00
Donation amount
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