Fall Fundraiser Dinner

Test-drive Your Event Registration Page This page is currently running in test-drive mode. If this is a paid event, transactions will be sent to your payment processor's test server. No live financial transactions will be submitted. However, a contact record will be created or updated and test event registration and contribution records will be saved to the database. Use obvious test contact names so you can review and delete these records as needed. Refer to your payment processor's documentation for information on values to use for test credit card number, security code, postal code, etc.

Fill in the information below to join as at this wonderful dinner event.

How many people are you registering? *

Your Registration Info

First Name *

Last Name *

Email Address *

Dinner Contribution *

Single - $ 50,00

Couple - $ 100,00

Family - $ 200,00

Total for this participant

Credit Card

Card Type

Card Number *

Security Code *

Expiration Date *

Billing Name and Address

Billing First Name *

Billing Middle Name

Billing Last Name *

Street Address *

City *

Country *

County *

Postal Code *

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Fall Fundraiser Dinner