2016 3RD ANNUAL PANORA P.E.T.S. FUR BALL
EVENT
INDIVIDUAL TICKETS/$30.00 PER PERSON
PANORA PETS FUR BALL SATURDAY APRIL 23 2016
TICKETS FOR TWO AND PET SPONSOSHIP/$110.00
TICKETS FOR 2 AND PET SPONSORSHIP SATURDAY APRIL 23 2016
IF PURCHASING TICKET AND SPONSOR PLEASE CHOOSE WHICH PET TO SPONSOR
DOG
CAT
WHEREVER NEEDED
TABLE FOR 8/$225.00
PANORA PETS FUR BALL SATURDAY APRIL 23 2016
TABLE OF 8 AND PET SPONSORSHIP/$275.00
TABLE OF 8 AND PET SPONSORSHIP APRIL 23 2016
IF PURCHASING A TABLE AND SPONSOR PLEASE CHOOSE WHICH PET TO SPONSOR
DOG
CAT
WHEREVER NEEDED
SPONSER A PET IN NEED (OPTIONAL)
WANT TO SPONSER A PET IN NEED?
HOW MANY?
SPONSOR ONE PET $50.00
SPONSOR TWO PETS $90.00
PLEASE SELECT DOG OR CAT SPONSORSHIP
TYPE OF ANIMAL
DOG
CAT
WHEREVER NEEDED
UNABLE TO ATTEND BUT WANT TO DONATE
DONATION ONLY
DONATION AMOUNT
DONATION AMOUNT $5.00
DONATION AMOUNT $10.00
DONATION AMOUNT $20.00
DONATION AMOUNT $25.00
DONATION AMOUNT $30.00
DONATION AMOUNT $40.00
DONATION AMOUNT $50.00
DONATION AMOUNT $75.00
DONATION AMOUNT $100.00
DONATION AMOUNT $150.00
DONATION AMOUNT $200.00
DONATION AMOUNT $250.00
DONATION AMOUNT $300.00
DONATION AMOUNT $350.00
DONATION AMOUNT $400.00
DONATION AMOUNT $450.00
DONATION AMOUNT $500.00
DONATION AMOUNT $1000.00
GRAND TOTAL
GRAND TOTAL
Personal Information
E-Mail:*
Valid e-mail is required
First Name:*
Last Name:*
Address Line 1:*
Address Line 2:
City:*
State:*
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PRE-REGISTRATION AND PAYMENT IS REQUIRED
ONLINE PAYMENTS
ONCE YOU COMPLETE THE INFORMATION ABOVE PLEASE HIT THE SUBMIT BUTTON. YOU WILL THEN BE DIRECTED TO THE NEXT SCREEN. ON THE BOTTOM OF THE SCREEN YOU WILL SEE THE PAY PAL LOGO WHERE YOU CAN THEN PAY VIA PAY PAL.
MAIL PAYMENTS TO:
IF YOU PREFER TO MAIL PAYMENT AND REGISTRATION PLEASE INCLUDE ALL THE INFORMATION ABOVE AND MAIL TO:
PANORA PETS
FUR BALL TICKET REQUEST
PO BOX 144
PANORA, IA 50216
PLEASE MAKE ALL CHECKS PAYABLE TO ``PANORA PETS``
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