Visual Arts Fundraiser Registration Form
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
*
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Seat for VA Fundraiser
$
50.00
Quantity
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Sponsor Table for 6
$
300.00
Quantity
0
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I cannot attend but will donate to HCAF Visual Arts
$
50.00
Quantity
1
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Credit Card
Submit
Should be Empty: