An Evening at the Barre: Purchase Tickets

Are you able to attend?*

Yes, I am attending.
No, I am unable to attend, but please accept my support for the Changing Lives Scholarship Fund.

Full Name*

Mailing Address*

Email Address*

Phone Number*

Donation Amount*

Ticketing

Number of Tickets *

Price: $150.00

Guests*

Will be seated in tables of eight. Please include yourself on this list.

First Name	Last Name	Dietary Request

Would you like to make a donation to the Changing Lives Scholarship?*

Donation Amount*

Would you like to donate an auction item?

Description of Item

Fair Market Value

How will you get us the item?

Total

$0.00

Payment Method*

Checks may be made payable to “CPYB” and mailed to 5 N. Orange Street, Suite 3, Carlisle, PA 17013.

Comments

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