Guest Reservation

First and Last Name *

E-mail *

Phone Number *

A donation of $10 is suggested, but no gift is too great or too small. All the collected donations will be awarded to the organization that will receive the most amount of votes at the end of the night. Which method of payment would you like to use? *

Mail-in a Check payable to Lindenhurst Community cares Coalition, Inc. P.O. Box 33 Lindenhurst NY 11757

Venmo to @Lindy-Cares