Form

Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
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Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
My Products
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Reservation
Your name(s) will be at check in. No physical ticket needed.

$75.00 Quantity



Raffle Tickets
Prizes: Two Night Lake George Getaway valued at over $500, $200 Target Gift Card and more chances to win prizes valued over $100. Raffle drawing will take place during the event. You need not be present to win!

$5.00 Quantity



Golden Pinwheel Recognition
Purchase a pinwheel in recognition of someone you wish to recognize. List the name(s) in space below.

$25.00 Quantity
Item subtotal:$0.00



Golden Pinwheel Recognition
Purchase 5 pinwheels for $100 for those you wish to recognize and list names below.

$100.00 Quantity



Total

$0.00
If you purchased Golden Pinwheels above and wish to, please indicate the name(s) of those you are recognizing in the box below.

Payment Methods

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