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Jokers and Jazz Bash 2022
Guest Information
Name
*
First Name
Last Name
Business/Organization name, if applicable
Email
*
Verify Email
*
Phone
Address
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
Please list your group/table host, if applicable:
Amount
*
Quantity
$1,250
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Table Sponsorship (8 seats plus program advertisement)
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$800
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Table Purchase (no sponsorship/8 seats, no advertisement)
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$100
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Individual ticket
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$25
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Additional Donation
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$50
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Additional Donation
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10
$75
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Additional Donation
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$100
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Additional Donation
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10
Add 3% to my total amount to help cover the payment processing fees
