Movie Bingo

Section A

REGISTER & PAY ONLINE
TO REGISTER, FILL OUT THIS FORM AND SELECT THE NUMBER OF PLAYERS OR NUMBER OF TABLES YOU WISH TO PURCHASE. $25 PER PERSON OR $200 PER TABLE.
Name
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email
Phone
Check Out
Bingo Players Quantity
Price: $26.00
$25 for each Bingo Player plus $1 cost of using credit card. Select the number of Players here if you are purchasing less than 8 players.
Table of 8 Players Quantity
Price: $206.00
$200 for each Bingo Table plus $6 cost of using credit card. Select the number of Bingo Tables for 8 Players that you wish to purchase.
Total
$0.00

Credit Card

Configuration Required: To use the Square field, please configure your Square Settings.

Fill out your name, email and phone.

Name

First Last

Phone

SELECT HOW YOU WISH TO PAY, THE NUMBER OF BINGO PLAYERS OR BINGO TABLES YOU WANT AND THEN PRESS SUBMIT.

SEND CHECK OR PAY AT DOOR

Send Check: Kiwanis C/O Jonesburg State Bank, 508 State Hwy 47, Warrenton 63383

Pay at Door

DO YOU PLAN TO SEND YOUR CHECK OR PAY FOR BINGO AT THE DOOR?

Select Number of Bingo Players

Per Player $25.00

Table of 8 Players $200

SELECT PER PLAYER OR SELECT TABLE OF 8 PLAYERS. THEN INDICATE HOW MANY UNDER QUANTITY.

Quantity

Total