Register

Sponsor/Registrant:
Contact:
Address:
City:
State:
ZIP:
Phone:
Email:
Fax:
Sponsorship Level:
Number of Tickets Requested: ($75 each)
Donation Amount: $ (in place of a sponsorship)
Required fields are in bold

Bingo Costs:

* We will have 10 rounds of Bingo.

The first round of bingo comes with your registration.  
Each round thereafter is played by purchasing bingo cards:  1 for $20 or 2 for $30.
* The Black Out Round is 1 for $40 or 2 for $70.
Each round has a prize that is displayed in the program and promoted before each round. 

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