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Christian Community School

FALL GALA 2019

    
Order Date
Tickets

$35 per ticket

Tables

$280 per table of 8 guests

ONLY if buying a table, indicate each of the 8 seats as either OPEN or by guest name

example: Mary Smith, Joe Smith, Sam Jones, Sue Jones, Peter Parker, Mary Parker, OPEN, OPEN

Order Amount

Total dollar amount for tickets and tables -or- Total dollar amount for donation if not attending.

Your Name
Event Name
Name as on Card
Billing Street
Billing Address 2
Billing City
Billing State

2 digit state (example: OH)

Card Billing Zip
Card Number
Card Expiration Date
CVV2/CID
Email Addresss

Thank you for your support of Christian education!