Lakesiders Dance Party!

First Name

Last Name

Email address

example@example.com

Contact Number

Format: (000) 000-0000.

Please select the number of attendees

I'd like to help with the party! I can help:

Your Cost

Amount Due

USDCLIA Dance Party

Click on the "Submit" button to pay for your party tickets. You will be sent to a processing page, where you can enter your Credit or Debit card information or log in to your PayPal account.

If you are paying by Credit or Debit card, do NOT click on the option to save your card information - selecting that option will take you to the PayPal login screen.

CLIA is a 501(c)3 nonprofit organization. Donations are tax exempt to the extent of the law. A copy of our most recently filed financial report is available from the Charities Registry on the New York State Attorney General's website (www.charitiesnyc.com) or, upon request, by contacting the New York State Attorney General, Charities Bureau, 28 Liberty Street, New York, NY 10005 or us at POB 81, Cossayuna, NY 12823-0081. You may also contact the New York State Office of the Attorney General at 212.416.8401.