Anne Grady - Designer Purse Bingo Ticket Order

Anne Grady Services

Designer Purse Bingo Ticket Purchase Form
Date: Thursday, June 12, 2025

Time: Doors 5:00pm, Bingo 6:00-8:00pm

Location: Maumee Bay Brew Pub Warehouse | 201 Morris St | Toledo, OH 43604

Join us for an exciting evening of bingo, designer purses, and philanthropy! Attendees will have the chance to win from over 15 purses, participate in raffle baskets and a 50/50 drawing, and enjoy food from an on-site food truck and a cash/card bar.

All proceeds benefit programs and services for individuals with developmental disabilities.

Questions? Please reach out to development@annegrady.org and one of our team members will reach out to you shortly!

*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
How Many Tickets?*
Donation Amount*
Your Name*

First NameLast Name
Company
Optional
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Phone Number*

Area CodePhone Number

On this next page, you will be asked to enter the Name, Address, Email, and Phone Number for all of your guests.

If you are purchasing more than 10 tickets, please fill out multiple forms.

*Required Field
Name of First Guest*

First NameLast Name
Address of First Guest*

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number of First Guest*

Area CodePhone Number
Email of First Guest*
example@example.com
Name of Second Guest*

First NameLast Name
Address of Second Guest*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number of Second Guest*

Area CodePhone Number
Email of Second Guest*
example@example.com
Name of Third Guest*

First NameLast Name
Address of Third Guest*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email of Third Guest*
example@example.com
Phone Number of Third Guest*

Area CodePhone Number
Name of Fourth Guest*

First NameLast Name
Address of Fourth Guest*

Street Address

Street Address Line 2

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Postal / Zip Code
Email of Fourth Guest*
example@example.com
Phone Number of Fourth Guest*

Area CodePhone Number
Name of Fifth Guest*

First NameLast Name
Address of Fifth Guest*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email of Fifth Guest*
example@example.com
Phone Number of Fifth Guest*

Area CodePhone Number
Name of Sixth Guest*

First NameLast Name
Address of Sixth Guest*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email of Sixth Guest*
example@example.com
Phone Number of Sixth Guest*

Area CodePhone Number
Name of Seventh Guest*

First NameLast Name
Address of Seventh Guest*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email of Seventh Guest*
example@example.com
Phone Number of Seventh Guest*

Area CodePhone Number
Name of Eighth Guest*

First NameLast Name
Address of Eighth Guest*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email of Eighth Guest*
example@example.com
Phone Number of Eighth Guest*

Area CodePhone Number
Name of Ninth Guest*

First NameLast Name
Address of Ninth Guest*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email of Ninth Guest*
example@example.com
Phone Number of Ninth Guest*

Area CodePhone Number

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?*

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Calculated Donation

Final Payment Amount*

USDDollar Amount

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

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Anne Grady Services

We're sorry. You must be 18 years old or older to attend this event.