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DECC Magic House Fundraiser

Your name

If different than name on your credit card

Family entrance @ $40/Family

Families of up to six

Additional guests @ $5 each

Please check the box if you'd like to sponsor the event

DECC Magic Maker Sponsorship

$250.00

Please recognize our sponsorship on signage as

If you'd like to submit a high resolution logo for event signage, please email the logo to [email protected] by January 19.

I'd like to make an additional donation $

Please enter donation amount

Account Details

Enter your name and e-mail address for your confirmation:

*E-mail

*First Name

*Last Name

Payment Information

Account

Online Fee:

Credit Card

Name on Card

Card Type

Card Number

Expiration Date

Card Verification Number

Address Line 1

City

State/Province

Zip

Comments

Increase the amount by 3% to cover credit card fees. Please select YES to increase your payment.

Total:

DECC Magic House Fundraiser

Account Details

Enter your name and e-mail address for your confirmation:

Payment Information

Credit Card

Checking Account

For added Security please check the box below.

DECC Magic House Fundraiser

Account Details

Enter your name and e-mail address for your confirmation:

Payment Information

Credit Card

Checking Account

For added Security please check the box below.

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