Childress for Judge Music Bingo Sign Up Form

Full Name*

First NameLast Name

Email Address*

example@example.com

Phone Number*

Please enter a valid phone number.

Select Your Ticket Option

Individual Bingo TicketSingle Bingo ticket for $50.00

$50.00 Quantity

Table of 8Full table of eight for $400.00

$400.00 Quantity

Round Sponsor Logo displayed during round

$150.00 Quantity

Silver SponsorLogo displayed during round & on tables

$300.00 Quantity

Gold SponsorLogo displayed during round, on tables, & on campaign website (Political candidates ineligible for website recognition.)

$500.00 Quantity

Platinum SponsorLogo displayed during round, on tables, on campaign website, & 100 word message read by emcee during event (Political candidates ineligible for website recognition. Childress for Judge reserves the right to deny or edit message content that would violate campaign and/or judicial ethics.)

$750.00 Quantity

Drink SponsorLogo displayed at bar. (only 4 available)

$500.00 Quantity

Total

$0.00

Overall Campaign Volunteer Sign-Up Options - I am interested in:

Putting a sign in my yardWorking a political pollKnocking on doorsOther

Additional Comments or Special Instructions

Join Us for a Music Bingo Fundraiser!