If you want shipping, enter mailing address w/city & zip:
Full name:
Email address:
10-digit phone #:
Comments/Questions
To order items and/or tickets , fill in the form above and below , click "SUBMIT", then click the PayPal or Visa/MC button to send your total.
Item Name
Quantity
Color
Size
Price
Total
X
=
Item 1
Item 2
X
=
X
=
Item 3
X
=
Item 4
FREE short-slve shirt or tote!
=
1
0
Item 5
=
Item 6
X
Count the number of items ordered in size 2XL, 3XL, or 4XL, and add $2 each.
Number of adult tickets:
x $10 = ..............................................................
Number of children:
x $5 for first child, $2 for each additional =
Add 50 cents if you want your tickets mailed
So we can plan for child care & activities, please list the first name and age of each child.
Add $1 per item if you want your items mailed
Method of payment and other notes:
Grand total (add all amounts)
W RITE DOWN your Grand Total , and then hit SUBMIT . Then come back to this page to click on the PayPal or Visa/MC to pay online . Please note that payments will go to "Daubenspeck Community Nature Park" -- another non-profit collecting the funds until All Souls sets up its own account. OR you can send check or money order to "All Hearts / All Souls" Valentine's Dance All Souls Unitarian Church, 5805 E. 56th St., Indianapolis, IN 46226-1526.