Bingo Night
Friday, January 30, 2026 | 7:00 PM | Cedar Hall
CONTACT INFORMATION
Name
*
First Name
Last Name
Email
*
example@example.com
Cell Number
*
ORDER DETAILS
How many Adult tickets would you like to purchase?
*
Please Select
1
2
3
4
5
6
7
8
9
10
How many Children tickets would you like to purchase?
*
Please Select
0
1
2
3
4
5
6
7
8
9
10
PAY ONLINE
Please check one of the following and proceed with your payment
*
prev
next
( X )
Bingo_Adult Ticket
$
8.00
Quantity
1
2
3
4
5
6
7
8
9
10
Bingo_Child Ticket
$
5.00
Quantity
1
2
3
4
5
6
7
8
9
10
Payment Methods
Credit Card
Apple Pay
After submitting the form, you will be redirected to Apple Pay to complete the payment.
Submit
Should be Empty: