Western Pennsylvania School for the Deaf

STEP ONE
ENTER INFO
STEP TWO
CONFIRMATION
STEP THREE
RECEIPT

Qty

Description

Amount

Total

Event Ticket(s)

$50.00

---

per person

Sponsorships

Qty

Description

Amount

Total

Sunshine - Includes 4 Tickets

$1,000.00

---

Red - Includes 2 Tickets

$500.00

---

Orange

$250.00

---

Yellow

$100.00

---

Green

$50.00

---

Blue

$25.00

---

Purple - Gift Card toward raffle basket

$25.00

---

Total: $0.00

Guest Information

Please enter the names of those attending, if known at this time.
Guest names should not exceed the number of tickets purchased.

Guest #1 Name:

Payment Information

First Name: *

Last Name: *

Company/Organization:

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.

Click here to receive more information on the Programs of the Western Pennsylvania School for the Deaf

I can be reached at the following phone number and/or email address:

Contact Information:

Questions or Comments:

Your Payment Information

Name on Card: *

Card Number: *

Security Code: *

Expiration Date: *