Scholarship Dinner tickets

How many general participation tickets would you like to purchase?

Donation Amount:

$ 40

Note: Tickets purchased in advance will be held at the reception table on the evening of the event.

List of attendees

Please indicate the names of the guests you would like to be seated with:

I'd like to help cover the transaction fees of 0 for my donation.

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Personal Info

First Name *

Last Name *

Email Address *

Credit Card Info

This is a secure SSL encrypted payment.

Card Number *

CVC *

Cardholder Name *

Expiration *

Billing Details

Country *

Address 1 *

Address 2

City *

State *

Zip / Postal Code *

Donation Total: $40