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Register For Event

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

Select Payment Method

Please Select Number of Tickets

Each ticket is $50

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Select Number of Tickets* 

Ticket

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=

$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

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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.

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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

Review Order

Review Order

Please review carefully, there are no refunds

First Name:

Selected Number of Tickets

FirstName

Last Name:

LastName

Ticket

x

0

=

$0

Email:

Email

Phone:

Phone

Total

0

Tickets

$0

Member

Referring Chapter Member:

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Have you completed your PayPal Payment?

Thank You

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.

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Payment must be received by April 2, 2022

​

All saved orders without verified payments will be canceled after April 2, 2022

directDonation

Make a Direct Donation

Make the check payable to:

MSUAAHCC

Memo Line: Day Party Donation and Referring Chapter Member 

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Mail Your Check to:

DeLois Jeffers

10205 Weatherberry Tavern Court
Ellicott City, MD 21042

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Donate with Credit/Debit with PayPal

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