YULA High School – A Night of Comedy and Magic (Donate) – YULA High School

Company Name
Name*
First Last
I am a YULA alum, class of:
Spouses Name (if applicable)
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My spouse is a YULA alum, class of:
Email*
Phone*
Donation & Tickets*
Ticket 1 Name
First Last
Ticket 2 Name
First Last
Ticket 3 Name
First Last
Ticket 4 Name
First Last
Ticket 5 Name
First Last
Ticket 6 Name
First Last
Ticket 7 Name
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Ticket 8 Name
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Ticket 9 Name
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Ticket 10 Name
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Ticket 11 Name
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Ticket 12 Name
First Last
Ticket 11 Name
First Last
Ticket 12 Name
First Last
Donation Amount

I/we wish to contribute to support YULA’s scholarship fund.
Jackpot Raffle Ticket Quantity
Price: $150.00
Proceeds Benefiting United Hatzalah
Message to the Honorees Nancy & Mark Schiff
Donate Processing Fees*
Processing Fees
Price: $0.00
Total
$0.00
Payment Method*

Billing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Credit Card

American Express
MasterCard
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Supported Credit Cards: American Express, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
Total
$0.00