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Winter Count 30 Financial Offering Request
Please fill out the form below to apply for financial help. We will email you within the next seven days with what we can provide, as well as instructions for how to register with the discount using the ticketing system on our website. Using this form to start the conversation really helps us to make sure no one is missed, and we're able to get back to everyone that gets in touch with us.
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* Indicates required question
First name
*
Your answer
Last name
*
Your answer
Email
*
(This will be used for all communications regarding any discounts and registration)
Your answer
Billing Email
The email address that will be used for checkout/billing when you register (if different from above)
Your answer
Phone number
*
Your answer
Reason
*
Why you are requesting a discount.
Your answer
No. of people
*
How many people are you requesting a discount for?
Your answer
Names, ages, and relationship
*
If you are requesting for more than just yourself, please add names, ages and relationship to you.
Your answer
Level of help
What level of financial help are you seeking?
Some help
A little more than some
More than a little more than some
Clear selection
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