2023 Mystery Dinner Tickets & Raffle Fundraiser

Mystery Dinner Fundraiser Registration Form

A DANCE WITH DEATH - A 1950'S SOCK HOP GONE SOUR
Name*

First NameLast Name
Guest Name

First NameLast Name
Table of 8 - Table Name Under.

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

Area CodePhone Number
E-mail*
Ticket Purchase*
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Mystery Dinner Early Bird Single Ticket$60.00
Mystery Dinner Single Ticket

Mystery Dinner Single Ticket $60 - Pay by Check $ Free
Mail Check To Rock'n Our Disabilities - 14631 Equestrian Court, Victorville, CA 92394

Mystery Dinner Couple Ticket$110.00
Mystery Dinner Early Bird Couple Ticket

Mystery Dinner Couple Ticket $110 - Pay by Check $ Free
Mystery Dinner Early Bird Couple Ticket pay by check - Mail Check To Rock'n Our Disabilities - 14631 Equestrian Court, Victorville, CA 92394

Mystery Dinner Table of 8$440.00
$40 discount for purchasing a table.

Mystery Dinner Table of 8 - Pay by check $440 $ Free
$40 discount for purchasing a table. Pay by check - Mail Check To Rock'n Our Disabilities - 14631 Equestrian Court, Victorville, CA 92394

Total $0.00
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Mystery Dinner Fundraiser Registration Form