EVENTS & RAFFLE Entry & Payments
This form only allows the purchase of entries for our "EVENTS & RAFFLES." Thank You for Supporting Our Work in the Community! #DaddyBackwards
Adult Name:
*
First Name
Last Name
Email Address:
*
example@example.com
Phone Number:
*
-
Area Code
Phone Number
Available EVENTS & RAFFLES:
*
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9-16-26: BINGO & CRAFTS EVENT (One Entry)
$15.00
$
15.00
Please use this section to purchase your entry. (The 6.35% added is the CT State Sales Tax)
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$0.00
$
0.00
9-26-26: TIE DYE Party
$20.00
$
20.00
Please use this section to purchase your entry. (The 6.35% added is the CT State Sales Tax)
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$0.00
$
0.00
Subtotal
$0.00
$
0.00
Tax
$0.00
$
0.00
Total
$0.00
$
0.00
Payment Methods
Credit Card
Apple Pay
After submitting the form, you will be redirected to Apple Pay to complete the payment.
Google Pay
After submitting the form, you will be redirected to Google Pay to complete the payment.
Cash App Pay
After submitting the form, you will be redirected to Cash App Pay to complete the payment.
Participant Name:
First Name
Last Name
Date of Birth
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Payment Information
All payments are Securely Processed through "SQUARE", Daddy Backwards Entertainment does not see or receive your payment information. You will be emailed a link to your receipt. If you have any questions, please feel free to contact us: info@DaddyBackwardsEntertainment.com
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