Fundraiser Registration Form

Fundraiser Registration Form
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
$50 per seat - $300 table for 6*
prevnext( X )
Seat for VA Fundraiser
$50.00 Quantity

Sponsor Table for 6
$300.00 Quantity

Total

$0.00
I cannot attend but will donate to HCAF Visual Arts.
Donation amount: $
After your form is submitted you will receive a phone call to finalize registration and payment. The registration is not complete until payment has been received.
Should be Empty: