Pick Me! Event

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We would like to get a tally of how many people and what they are interested in getting for this event. Please fill out your information and your selections.
Name*
Phone Number*
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Email*
example@example.com
• Be sure to check box next to logo and use dropdown for amount to choose to make a donation.
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PICK ME! EVENT – I would like to help out with a donation
$1.00 Quantity

Total

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Payment Methods

Fastlane Checkout

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