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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Email
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Address
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State
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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
This is a secure 256-bit SSL encrypted payment
Card Number
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Expiration Date
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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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$0.00
Donation amount
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