Red Ball

Tickets



 Friend Ticket(s) @ $100 or 5 for $400


 Star Ticket(s) @ $250 or 5 for $1000 (Includes 10 raffle tickets and a listing in the event program.)



Donation Information


I am unable to attend the Red Ball, but would like to make a contribution to benefit the Cancer Support Community. Please see the following page for my contribution of:
$

100% of your donation is tax-deductible if you are not attending the event. The non-deductible portion of each ticket is $43.


Credit Card Information


Name on Credit Card *
 

Card Type *


Card Number *
 

Expiration Date *
 (mm/yy)

CCV *

(3 digit number on the back of your card)


Referral Information


Please let us know how your heard about the Red Ball

If Other, please tell us how

Donor Information


First Name*
 

Middle Initial
 

Last Name *
 

Prefix/Suffix
 (Jr., Dr.)

Address 1 (Billing Address) *
 

Address 2
 

City *
 

State *
 

Zip Code *
 

Country *
 

Home Phone *
 (xxx-xxx-xxxx)

Email Address *
 

Company Name
 

Does your company match contributions?
Yes 
No 
Not sure 


* = required field


Cancer Support Community is a 501(c)3 charitable organization, and all donations are tax-deductible to the extent allowed by law.  Federal ID Number: 95-4163931. Thank you for your generous support - every gift to the Cancer Support Community helps us ensure that no one faces cancer alone. 
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