JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
TICKETS/DONATIONS Pins for Peace October 12, 2019 5pm-9pm
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
I want this many tickets at $45.00 each
one
two
three
four
Other:
Clear selection
Your Name
*
Your answer
Names of those attending are
Your answer
I am unable to sponsor or attend, but please accept my donation of $______. Please type in the amount below.
Your answer
Payment
*
I will mail a check payable to DRCWM to 678 Front Ave. NW Ste #250 Grand Rapids MI 59504
I will follow the link below to pay by credit card
Other:
Follow this link to pay by credit card: (but please come back and hit submit after so that we get your info! :))
https://paypal.me/DRCWM
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
