Bingo for Bereaved Parents Fundraiser Registration We’re excited that you’ll be joining us for a fun night to support Just Enduring and those impacted by child loss. Fundraiser Registration & Payment Donation Amount: $ 240 1 Ticket2 Tickets3 Tickets4 Tickets5 Tickets6 Tickets7 TicketsEntire Table Select Payment Method Credit Card PayPal Offline Donation Personal Info First Name * Last Name Is this donation on behalf of a company? No Yes Company Name Email Address * Comment Additional Info Are you a bereaved parent or do you have a bereaved parent in your group? Are you a bereaved parent or do you have a bereaved parent in your group? Yes No Not Sure (Optional) Names & Emails of People at Your Table Credit Card Info This is a secure SSL encrypted payment. Subscribe to Stay in Touch Donation Total: $240 {amount} donation plus {fee_amount} to help cover fees.
