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