On-Site Registration and Orders Transactions * Registration General Donation Silent Auction Item(s) Fundraiser Item(s) Book(s) Registration $ * General Donation $ * Silent Auction Item(s) $ * # of Fundraiser Areas * 1 2 3 4 Fundraiser Item(s) $ * Fundraiser Area * Select Area Lynchburg Richmond Roanoke Fundraiser Item(s) $ #2 * Fundraiser Area #2 * Select Area Lynchburg Richmond Roanoke Fundraiser Item(s) $ #3 * Fundraiser Area #3 * Select Area Lynchburg Richmond Roanoke Fundraiser Item(s) $ #4 * Fundraiser Area #4 * Select Area Lynchburg Richmond Roanoke # of Book Areas * 1 2 3 4 Book(s) $ * Book(s) Area * Select Area Richmond Roanoke Book(s) $ #2 * Book(s) Area #2 * Select Area Richmond Roanoke Book(s) $ #3 * Book(s) Area #3 * Select Area Richmond Roanoke Book(s) $ #4 * Book(s) Area #4 * Select Area Richmond Roanoke Total $ Payment Type * Cash Check Credit Card Name * Check # * NOTE: $25 surcharge for returned checks Phone # * Email Receipt? * Yes No Email Address *
