UURISE Fundraiser - Income Sensitive Ticket Request
Your presence is important to us! Please let us know how we can make it easier for you to attend.
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Event I am requesting a reduced rate ticket for:
*
Please Select
VHS Dance Party 4/17/26
Amount I can reasonably afford for my ticket:
*
Any additional information/comments:
Submit
Should be Empty: