Home Hospice of Grayson County

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STEP ONE
ENTER INFO
STEP TWO
CONFIRMATION
STEP THREE
RECEIPT

Advance Ticket Sales

Qty

Description

Amount

Total

Pre-event Ticket(s)

$20.00

---

(Tickets at the gate = $25)

Kids under 16

$10.00

---

Kids under 5 - FREE

$0.00

---

Single Raffle Ticket(s)

$10.00

---

11 Raffle Tickets

$100.00

---

Raffle Items

Smoker 1 Smoker 2

1st Prize 2nd Prize

Team Registration

Qty

Description

Amount

Total

Appetizer Team Registration Only

$25.00

---

Sponsorship

Event Sponsor

$3,000.00

Arena Sponsor

$2,000.00

Corporate Sponsor

$1,000.00

Activity Sponsor

$500.00

Support Sponsor

$250.00

Donation Amount

Total: $0.00

Payer Information

First Name: *

Last Name: *

Billing Address: *

This is the address where your credit card statements are mailed.

Address 2:

City: *

State / Province: *

Zip Code: *

Country: *

Telephone:

E-mail: *

A receipt will be e-mailed to this address.

Your Payment Information

Name on Card: *

Card Number: *

Security Code: *

Expiration Date: *