The Adult Field Trip Event Order Form
Name
First Name
Last Name
Email
example@example.com
I would like to select MDTP as my Social Media Birthday Organization - My Birthday Is:
-
Month
-
Day
Year
Date
I have a potential business partnership opportunity- Business Name and Contact
My Products
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Yearbook - Online
MDTP Online Yearbook and the Adult Field Trip and other exciting MDTP new
$
25.00
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Item subtotal:
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0.00
VIP Activity Pacakge
Trip down memory of all our child hood favorite activities. Purchase includes ONE ticket to the Activity gift raffle.
$
30.00
Quantity
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Raffle Tickets for The Adult Field Trip
Raffle tickets for Varies Prizes
$
25.00
Select Raffle Items
Sycamore Lane Wine Basket
Setay Dance and Fitness Studio
Lottery Ticket Raffle Board
Grateful Basket - Wait til you peek inside!!!
Bracelet by Mermade Jewelry
Scottsdale Center for Arts -Unrestricted Performances
2
Select Raffle Items
Scottsdale Center for Arts -Unrestricted Performances
Sycamore Lane Wine Basket
Setay Dance and Fitness Studio
Lottery Ticket Raffle Board
Grateful Basket - Wait til you peek inside!!!
Bracelet by Mermade Jewelry
3
Select Raffle Items
Scottsdale Center for Arts -Unrestricted Performances
Sycamore Lane Wine Basket
Setay Dance and Fitness Studio
Lottery Ticket Raffle Board
Grateful Basket - Wait til you peek inside!!!
Bracelet by Mermade Jewelry
Quantity
0
1
2
3
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5
6
7
8
9
10
Item subtotal:
$
0.00
Raffle Ticket for The Adult Field Trip
Raffle tickets for Varies Prizes
$
10.00
Select Raffle Items
Scottsdale Center for Arts -Unrestricted Performances
Grateful Basket - Wait til you peek inside!!!
Sycamore Lane Wine Basket
Setay Dance and Fitness Studio
Lottery Board Tickets
Bracelet by Mermade Jewelry
Quantity
0
1
Item subtotal:
$
0.00
Teacher Fan Sign Up
Sign up includes TWO Raffle ticket to the Teacher Fan Lottery Board This is a reoccurring monthly donation to MDTP. Please sign up at : https://milliondollarteacherproject.givingfuel.com/mdtp
$
Free
Quantity
0
1
I have signed up and would like my included Raffle ticket
Item subtotal:
$
0.00
If you purchased more than one quantity of the 3 for 25 Raffle Tickets, Please select which raffles you would like to participate in
How Many Tickets
BRACELET BY MERMADE JEWELRY
COTTSDALE CENTER FOR ARTS -UNRESTRICTED PERFORMANCES
GRATEFUL BASKET
SYCAMORE LANE WINE BASKET
SETAY DANCE AND FITNESS STUDIO
RAFFLE BOARDS
Payment Methods
Debit or Credit Card
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Please click one of the PayPal options to complete payment and
submit
the form.
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