March 4th Food and Fellowship

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General Information-once complete-hit submit

Name

*

Email

This address will receive a confirmation email

Phone

Number of People Eating

How many over age 4

*

How many children under 4. Please select 0 if none.

*

TICKETS

Pay at Door Price $5.00 per meal

Pay Online $5.00 plus processing fee (2.9%+.30)

Do you have a ticket you purchased previously?

*

Please select one option.

Yes No

Drop Down to Pay On Line

(0.00) 1 Meal ($5.45) 2 Meals ($10.59) 3 Meals (15.74) 4 Meals (20.88) 5 Meals (26.03) Household Max (28.00)

Amount

Purchase a meal to bless someone

Not Today ($0) 1 Meal ($5) 2 Meals ($10) 3 Meals ($15) 4 Meals ($20)

Amount

Credit/Debit Card Number

Expiration Date/CVC

Name on Card

Card Billing Address

Description

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