Order Form
Please Enter First Name
Please Enter Last Name
Please Enter Email
Please Enter Phone Number
Please Enter Name of Chapter Member That Referred You
Please Select a Payment Method
Payment Method Instructions
Please Select Number of Tickets
Each ticket is $50
​
Select Number of Tickets*
Ticket
=
$0
Purchase up to 8 individual tickets for one table
Total
Tickets
0
=
$0
Payment must be received by April 10, 2023.
All saved orders without verified payments will be canceled after
April 10, 2023
Pay by Mail:
- Click 'Save Order' to download completed order form.
- Print and mail completed order form with check made payable to: MSUAAHCC
- Mail to DeLois Jeffers's address provided on the order form.
Pay with Credit/Debit:
- Review Order
- Click PayPal button
- A PayPal window will open to login/continue as guest
- Follow prompts to complete payment
- Click to View/Download Order Form for your reference
Submit Error Messages
MSUAA Howard County Chapter
Fundraising Committee
Thank You!
Order Form for ${firstName}, ${lastName}
${email}
${phone}
${ticketNum.text} # of Individual Tickets
Total: ${totalTickets.text} Tickets for $${totalTicketCost.text}
Make Check payable to:
MSUAAHCC
Memo Line: Day Party and Referring Chapter Member
Mail Check and Order Form to:
DeLois Jeffers
10205 Weatherberry Tavern Court
Ellicott City, MD 21042
Caribbean Day Party
Saturday, April 15, 2023
2:00 PM - 6:00 PM
Kahler Hall
5440 Old Tucker Row
Columbia, MD 21044
After payment is received and verified
an "Order Confirmation" will be emailed to you.
​
Payment must be received by April 2, 2022
​
All saved orders without verified payments will be canceled after April 2, 2022
Make a Direct Donation
Make the check payable to:
MSUAAHCC
Memo Line: Day Party Donation and Referring Chapter Member
​
Mail Your Check to:
DeLois Jeffers
10205 Weatherberry Tavern Court
Ellicott City, MD 21042
​
Donate with Credit/Debit with PayPal