Individual Registration

Please enter information in the form below to process your purchase for SWING INTO SPRING Swing Dance Fundraiser.

Ticket Information

Ticket Type	Price	Available Place	Quantity
Individual	$20.00	133
Couple	$40.00	133
Family	$50.00	133

First Name *

Last Name *

Address *

Address 2

City *

Zip *

State

Phone

Email *

Payment Information

Amount

$

Payment Method

Stripe

Credit Card Number*

Expiration Date*

/

Card (CVV) Code*

Card Holder Name*

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