Gala Ticket and Raffle Purchase Form

Your Name (required):

Address:
Street (required):


City (required):

State (required):

ZIP Code (required):

Phone Number (required):

Email Addresses (required):

Participant(s) AND MEAL(S)
(Chicken, Beef, Fish):

Total cost of meals:

Number of gala raffle tickets ($20 each):

Cost of raffle tickets:

TOTAL amount submitted for meals and raffle tickets:

How are you submitting your payment?
VenmoZelleMail CheckCashOther
            (Please explain "Cash" & "Other" in "Comments" below)
           (Note: We DO NOT accept credit cards at this time.)

Do you...
• Want an officer to contact you?
YesNo
• Want more information about KFAAI or to become a member?
YesNo

How did you hear of us?:

Additional Comments: