Stacey Furr Benefit

Package Name	Amount	Subtotal

Adult Ticket (21 or over)	$35.00	$0.00



Teen Ticket (13yrs - 20yrs)	$15.00	$0.00



$1,000 Sponsor	$1,000.00	$0.00



$2,500 Sponsor	$2,500.00	$0.00



$5,000 Sponsor	$5,000.00	$0.00

Other Donation Amount - No Ticket:

Total:

$0.00

As a convenience, you may pre-register a credit card on the submission page to charge your purchases at event Stacey Furr Benefit.

I authorize Friends in Need Foundation, Inc. to use the credit card entered on the submission page at event Stacey Furr Benefit. Once the transaction has completed successfully, a confirmation receipt will be sent to the email address entered.

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