Bacchus Ball Registration: Benefiting the Diabetes Foundation of Mississippi
Saturday, February 5, 2022
Jackson Country Club
6:30 PM - 11:00 PM
Secure Payment Form |
Online ticket sales end at 8:30 am on the day of the event. If you have any questions or this form doesn't allow you to choose the options you
wish, don't
hesitate to call the Diabetes Foundation of Mississippi at 601-957-7878.
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Order Summary: |
Order Date: |
03/28/24
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Total Amount: |
250.00
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Credit Card
Information:
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Name as on Card:
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MMYY
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Card ID (CVV2/CID) Number:
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Billing Information:
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Shipping Information:
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Same as Billing:
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