Saint Hubert Catholic High School

St. Hubert Cheerleading Bingo

Qty

Description

Amount

Total

St. Hubert Cheerleading Bingo Admission

$40.00

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(per person)

Total: $0.00

Attendee Information

Attendee’s Full Name: *

Attendee's Maiden Name:

Attendee Guest’s Full Name:

Primary Phone Number (of attendee):

If your table is not full, is there another party you would like to be seated with?

Payer Information

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Last Name: *

Billing Address: *

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

Address 2:

City: *

State / Province: *

Zip Code: *

Country: *

Telephone: *

Email: *

A receipt will be emailed to this address.

Your Payment Information

Name on Card: *

Card Number: *

Security Code: *

Expiration Date: *