SOUTH SHORE YMCA

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Taste of the South Shore Registration

Should you experience any difficulties with this form, contact Mary Orne, Chief Development Officer, at 781-264-9453 or morne@ssymca.829stage.com.

The Taste of the South Shore - 2022

Step 1 of 3

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Add Ons
- Add Raffle Ticket - $25 Each
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Raffle Ticket Quantity
I can’t attend the event, but please accept my donation in the amount of:
or enter amount
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Total Donation
Total

Donor Information
Company
First Name*
Middle Name
Last Name*
Email*
Phone*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Date of Birth
MM slash DD slash YYYY
My employer will match my gift
Employer name

Billing Information
Payment Total
Price: $25.00
Billing Address*
- Same as Donor Information
- Different Address Information
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Credit Card*

American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name