Donation Form

Friday, April 5 - 6:30 pm

$200 per person

The event will feature plentiful passed hors d’oeuvres, food stations and complimentary drinks

PLUS $1,000 worth of playing chips to play

black jack, roulette and craps

Big winners will earn amazing prizes

Tickets to the Spring Casino Event ($200 each)

Please list all names of guests attending the event

Contact Information

First Name

Last Name

Company Name

Address

City

State/Province

Zip/Postal Code

Home Phone

Cell Phone

Work Phone

Help Us Cover Costs

Simply leave "Yes!" checked below to ensure that 100% of your intended donation is available for our mission.

Yes! I want $0.00 to go to Cape Cod Community College Educational Foundation and I will donate $0.00.No. I will donate $0.00 and Cape Cod Community College Educational Foundation will cover the processing costs.

Credit Card Information

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Card Account Number

Expiration Date

Security Code

Billing Address

Same As Above

Address

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Contact Us: Cape Cod Educational Foundation •• 2240 Iyannough Road, West Barnstable, MA 02668 •• 508-375-4015 •• [email protected]