On-line HBBA Fundraiser Registration and Payment With PayPal

To use on-line registration you must have a PayPal account to make your payment. Each ticket is $15. There is an additional $3 added for online registrations due to Paypal's fee system. The form below sends your registration to HBBA. You must then use the PayPal links that appear on the next page to complete your registration. You will need tickets for the purchaser and each guest. Your registration is not complete until payment is received.

Today's Date:

Full Name of Purchaser:

Phone Number: Email (use your PayPal Email):

Address

Guest Full Name:

Guest Full Name:

Guest Full Name:

Guest Full Name:

Guest Full Name:

In the box below you may enter any comments, concerns, or special situations.

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