Lakeshore General Hospital Foundation | Annual Golf Tournament Ticket Purchase

Ticket Purchase
*Please select the type of donation you would like to make:*
A significant portion of ticket purchases is eligible for tax deduction.
- Yes, I will attend and wish to reserve foursome(s) @ $2,000.
- Yes, I will attend and wish to reserve single ticket(s) @ $500.
- I would like to reserve ticket(s) for dinner only @ $150.
- I am unable to attend, but would like to make a donation instead.
Please enter your donation amount:*
Please select the type of donation you would like to make:*
A significant portion of ticket purchases are eligible for tax deductions
- Yes, I will attend & wish to reserve foursome(s) @ $2000
- Yes, I will attend & wish to reserve single ticket(s) @ $500
- I would like to purchase dinner ticket(s) @ $150
Foursome Reservation:*
Each foursome costs $2,000.
Price: $ 0.00 CAD
Enter the number of foursomes you would like to reserve.*
Please enter a value between 1 and 10.
Single Ticket Reservation:*
Each ticket costs $500 per person.
Price: $ 0.00 CAD
Please enter the number of tickets you would like to reserve.*
Please enter a value between 1 and 10.
Dinner Ticket Reservation:*
Each ticket costs $150 per person.
Price: $ 0.00 CAD
Please enter the number of dinner tickets you would like to reserve.*
Please enter a value between 1 and 10.
Total Price:
$ 0.00 CAD

PAYMENT METHOD
Would you like a tax receipt?*
- Yes
- No, I prefer to remain anonymous
Credit Card Payment
Billing Information*
Same address

Street Address Address Line 2 City Province Postal Code
Credit Card Information*

American Express
MasterCard
Visa
Card Number Expiration Date Security Code Cardholder Name
Summary
**Please confirm that all information is correct.**
Name: {Name (First):1.3} {Name (Last):1.6}
Address: {Address (Street Address):2.1}, {Address (City):2.3}
{Address (State / Province):2.4} {Address (ZIP / Postal Code):2.5}
Telephone: {Telephone:3}
Email: {Email:4}
Golf Options: {Are you able to attend?:86}
Choices:
Quantity of foursomes: {Enter the number of foursomes you would like to reserve.:78}
Quantity of single tickets: {Please enter the number of tickets you would like to reserve.:79}
Quantity of dinner tickets: {Please enter the number of dinner tickets you would like to reserve.:82}
Donation amount for those who cannot attend: {Please enter your donation amount::87}
Total: {Total Price::69}
Total
$ 0.00 CAD
Captcha
Name
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Annual Golf Tournament Ticket Purchase