Shelbyville Tri Kappa Purse Bingo
Table Interest Form: Only 20 tables are available, each table seats 8 people. Once submitted, we’ll contact you with the next steps and payment options.
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Table Name
*
Ticket Pick Up Options
*
Please Select
Mailed Directly
Pick Up In Person
Address for mailed tickets (Selected above)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Submit
Should be Empty: