Virtual Bingo Night
Contact Name:
*
Address:
City:
Phone
*
Email
*
Select registration for virtual session:
*
$10 (one Bingo face) Oct. 9
$10 (one Bingo face) Oct. 30
Select additional Bingo faces: ($2 each, add total to registration at checkout)
*
$2 one extra Bingo face
$4 two extra Bingo faces
$6 three extra Bingo faces
$8 four extra Bingo faces
$10 five extra Bingo faces
$12 six extra Bingo faces
$14 seven extra Bingo faces
$16 eight extra Bingo faces
$18 nine extra Bingo faces
$20 ten extra Bingo faces
By entering my name below, I intend to register for the chosen session of Virtual Bingo:
*
Date:
*
Submit
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