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Fundraiser Dinner Registration
Events
School Dinner Fundraiser: $135 per plate
Primary Registration:
  Friday - 12/13
School Dinner Fundraiser: $105 per plate
Guest Registration:
  Friday - 12/13
Grand Total:
Personal Information
E-Mail:*Valid e-mail is required
First Name:*
Last Name:*
Address Line 1:*
Address Line 2:
City:*
State:*
Zip Code:*
Phone:*
Credit/Debit Card Information
Card Number:*No dashes or spaces please
Expiration Month:*From your card
Expiration Year:*From your card
Card Brand:*
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