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ND/SD ASPIRE 50/50 Donation
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Name
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Last
Phone
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Select your ticket(s)
One Ticket -
$5.00
Arms Length -
$10.00
Wingspan -
$20.00
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Other amount
($5 increments only)
Total
$0.00
Authorize.Net
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Card Number
MM
1
2
3
4
5
6
7
8
9
10
11
12
Expiration
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YY
25
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32
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35
Security Code
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