Name: Tickets
Start: 2025-03-11T17:00
Location: Cornerstone Pub

Tickets

Memberships

Price

Quantity

Sponsor

Tickets: 1 1

Memberships: 1 1

$260

Quantity:

Platinum Card

Tickets: 0 0

Memberships: 0 0

$200

Quantity:

Couple

Tickets: 2 2

Memberships: 2 2

$100

Quantity:

Gold Card

Tickets: 0 0

Memberships: 0 0

$100

Quantity:

Single

Tickets: 1 1

Memberships: 1 1

$60

Quantity:

Jakes

Tickets: 1 1

Memberships: 1 1

$30

Quantity:

Subtotal: $

Credit Card Processing: $

Total: $

Purchaser Information

Email Address `

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First Name

Last Name

Suffix (Optional)

Membership Type

Street Address

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City/State/Zip

Cell Phone Number

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Payment Information

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Credit Card Number

Expiration (MM/YYYY)

Credit Card CVC

Billing Zipcode