Turkey Bingo Authorization Invoice
The event will be held Friday, November 19, 2021.  $5.00 per bingo card (i.e. 4 cards= $20.00 under "Total Dollar Amount".
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Email *
Parent/Guardian Name *
Student #1 First and Last Name, Grade (i.e. John Smith 3) *
Student #2 First and Last Name, Grade (i.e. Jane Doe 5)
Student #3 First and Last Name, Grade (i.e. Adam Smith 7)
Student #4 First and Last Name, Grade (i.e. Mary Johnson 8)
Number of cards for student #1 *
Number of cards for student #2
Number of cards for student #3
Number of cards for student #4
Parent/Guardian Phone Number *
Total Dollar Amount *
I electronically agree to donate the total dollar amount indicated above through my FACTS account. *
Date of authorization
MM
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DD
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YYYY
Comments/Questions/Other
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