Lyme Community Foundation: Ticket Purchase Form 2025

Ticket Purchase Form
Select your ticket(s):*
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Ticket
$50.00 Quantity

Total

$0.00
Name of 1st Ticket Holder

First NameLast Name
Name of 2nd Ticket Holder

First NameLast Name
Name of 3rd Ticket Holder

First NameLast Name
Name of 4th Ticket Holder

First NameLast Name
Name of 5th Ticket Holder

First NameLast Name
Name of 6th Ticket Holder

First NameLast Name
Name of 7th Ticket Holder

First NameLast Name
Name of 8th Ticket Holder

First NameLast Name
Name of 9th Ticket Holder

First NameLast Name
Name of 10th Ticket Holder

First NameLast Name
Customer Information
Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email*
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Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Tickets Mailing Address*

Same as aboveDifferent from above
Tickets Mailing Address (if different from above)*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Tickets will be mailed to this address you provided within 4 days
Lyme Communithy Foundation. Event will be held at Alexander Copley House
12030 NYS-12E
Chaumont, New York 13622

Payment Methods

Debit or Credit Card

Choose from one of the PayPal options to make your payment.

Ticket Purchase Form