Sponsorship & Tickets

PAYMENT FOR FALL DINNER SPONSORSHIP AND TICKET PURCHASES

When: October 21, 2023 Doors open at 5pm
Where: Great Wolf Lodge - Mason, Ohio

YES! We/I want to support the Fundraiser!
Please check all that apply on the form below to process online and return by October 7, 2023.
If you would like to print and mail your form please click here and return by October 7, 2023.

Ticket Prices are $75 ea. and $70 ea. for 10 or more.

NOTE: When you hit the Process payment form it will take a minute for it to come up. Please be patient.

Sponsorship Information

Sponsor Name

Contact Person

Address

Email

Please Select One or Both

Sponsor a Table at Dinner $300

Sponsor a Table and Purchase 10 tickets $950

Phone

Event Ticket Purchases

First Name

Last Name

How Many Event Tickets $75 ea.

Due to the program content all guests must be at least 16 years of age.

How Many Event Tickets at $70 ea. for 10 or more?

Due to the program content all guests must be at least 16 years of age.

Guest Names for 10 or More

Please provide the names of each guest who will be attending.

Would you like to donate a larger item for the live auction?

A HART volunteer will contact you to make arrangements for pick-up/drop-off of donation.

Yes

No

What is the item?

Would you like to Donate a Gift Basket?

A HART volunteer will contact you to make arrangements for pick-up/drop-off of donation.

Yes

No

What would you like to donate?

We /I would like to make a Financial Donation to HART (Please Check One)

Will present it at the event

Will mail the check payable to HART

Will make the donation on line - added into the full amount we are paying below

If making the donation what is the amount you are donating?

Comment

Please add total for ALL selections from above here *

Total Amount

$

Payment method

First Data

Billing Zipcode*

Credit Card Number*

Expiration Date*

/

Card (CVV) Code*

Card Type*

Card Holder Name*

Click the Links to Review all information.

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