T&E Care Fall Fest November 11, 2017 - RSVP & Raffle tickets
Please complete this form to 1) purchase tickets for the event 2) purchase Shore House raffle keys 3) purchase general raffle tickets and 4) make a general donation. If you have questions, please contact fallfest@tecare.org.

For our Sponsors, your ticket price is included in your sponsorship, however, please complete the information for the number of tickets you will be using, names and meal choices. If you wish to purchase raffles keys/tickets, you may do that here as well.

Email address *
Last name *
Your answer
First name *
Your answer
Phone number
Your answer
Address: Street *
Your answer
Address: City, State, Zip *
Your answer
How many event tickets do you want ($125 each, reserved table for up to 12 guests $1,600 each)?
Total $ for event tickets ($125 each or $1,600 for a reserved table for up to 12)
Your answer
Attendee # 1 first & last name
Your answer
Attendee # 1 dinner choice
Attendee # 2 first & last name
Your answer
Attendee # 2 dinner choice
Name and dinner choice for each additional guest on your order
Your answer
Seating request (we will make every effort to seat you with the people on your list)
Your answer
Number of Shore House raffle keys desired ($100 each). Only 100 will be sold. See website for prize details. You do not need to be in attendance to win.
Total $ for Shore House keys ($100 each)
Your answer
Number of raffle tickets desired ($20 each or $100 for 6). Please indicate the number of tickets for each raffle item you want. If you want more than 6 tickets for any item, please indicate in Comments below. See website for more prize details. You do not need to be in attendance to win.
1 ticket
2 tickets
3 tickets
4 tickets
5 tickets
6 tickets
Assortment of premium wines - $1,000 value
$100 gift card to Nectar
22" x 24" wooden US flag made by Flags of Valor - $220 value
Schwinn Elliptical 425 trainer - $600 value
Ethan & Niko necklace - $330 value
Go Pro HERO5 black - $400 value
Total $ for all raffle tickets ($20 each or $100 for 6)
Your answer
Total $ for General Donation
Your answer
GRAND TOTAL $ TO PAY (please add up all your totals above) *
Your answer
How would you like to pay? *
If you are not paying, please explain why.
Your answer
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