Sangamon County 4-H Foundation Dinner & Fundraiser Ticket Form
Saturday, March 11, 2023 5:30 pm at Prairie View Reception Center
Name
First Name
Last Name
Email
example@example.com
Phone Number
-
Area Code
Phone Number
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Tickets
*
prev
next
( X )
Guest
$20.00
$
20.00
1 ticket per guest includes meal (grilled pork chop, green beans, mashed potatoes & gravy), ice tea or water & entertainment
Quantity
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
50/50 Raffle Ticket
Free
$
Free
$5 each or 5 for 20
Quantity
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
PayPal convenience fee
$3.00
$
3.00
We are encouraging payment by check, payable to Sangamon County 4-H Foundation & mailed to the extension office. PayPal can be used for convenience however they keep a fee. We are adding a $3 fee to PayPal transactions to cover this fee.
Total
$0.00
$
0.00
Submit
Should be Empty: