Family Bingo Night!

First Name

Last Name

Email address

example@example.com

Contact Number

Format: (000) 000-0000.

How many people will be attending (please include children)

Number of people in your group

Please select the type and number of meals you'd like:

Pulled Pork Meal

Hot Dog Meal

Veggie Burger Meal

Please select the number of Bingo card sets you'd like (minimum is 1 per person; additional sets can be purchased during the event):

Bingo Card Sets

Your Cost

Amount Due

USDBingo Night

Click on the "Submit" button to pay for your meals and Bingo card sets.

You will be sent to a processing page, with 2 options for making payment - one for PayPal and one for paying via credit or debit card. YOU DO NOT NEED TO PAY VIA A PAYPAL ACCOUNT.

If you are paying by Credit or Debit card, do NOT click on the option to save your card information - selecting that option will take you to the PayPal login screen.

Questions can be directed to:

Marie Dumas 212.920.5511 or mariedumasfel@gmail.com

CLIA is a 501(c)3 nonprofit organization. Donations are tax exempt to the extent of the law. A copy of our most recently filed financial report is available from the Charities Registry on the New York State Attorney General's website (www.charitiesnyc.com) or, upon request, by contacting the New York State Attorney General, Charities Bureau, 28 Liberty Street, New York, NY 10005 or us at POB 81, Cossayuna, NY 12823-0081. You may also contact the New York State Office of the Attorney General at 212.416.8401.