Designer Purse Bingo Ticket Order

Anne Grady Foundation

Designer Purse Bingo Ticket Order/Donation Form
Thank you! Your support of Anne Grady Services will help us provide dignity, respect, and quality services to individuals with intellectual disabilities.

For more information or inquiry, contact Jessica Donley at jdonley@annegrady.org or 419.205.0543.

* Indicates required fields
Are you 18 years old or older?*

YesNo

How Would You Like to Help?*

Purchase Individual Tickets @ $50 eachDonate Toward Purchase of Purses
Number of Individual Tickets*
Donation Amount*
Company Name / Individual*
Contact Name*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
E-mail*
Phone Number*
Please enter the names, addresses, emails, and phone numbers of all other ticket holders.
Amount Total
NOTE: Ticket price is nonrefundable.
Would you like to increase your donation by 3 percent to help offset our credit card processing fees?*

YesNo
Calculated Donation

Final Payment Amount*

USDDollar Amount

Anne Grady Foundation