Special Event Registration

Paint The Night Blue Tickets

Complete the form to purchase tickets to the "Paint the Night Blue" Event. You will be receipted for your tax-deductible portion of your purchase. This event is on November 18th at 6 p.m at Kontos Community Center, St. George Greek Orthodox Church 9426 Little Rd, New Port Richey, FL 34654.

Name(Required)

First Last

Phone(Required)

Email(Required)

Enter Email Confirm Email

Is the Sponsor a Company?(Required)

Yes

No

Name of Company (if applicable)

Company Tagline or Business Description

Website

Please provide your company website address

Company Logo

Please upload your company logo for your computer

Accepted file types: jpg, gif, png, pdf, Max. file size: 12 MB.

Address

If your credit card billing address is different, provide your postal mailing address.

Street Address City State ZIP Code

Paint the Night Blue Tickets(Required)

Choose the type of Ticket

Paint the Night Blue Host Sponsor (16 attendees) -$15,000

Safe at Home Sponsor (8 attendees) - $5,000

Help Me Heal Sponsor (4 attendees) - $1,000

Child Advocate Sponsor (2 attendees) - $500

Individual Tickets (1 attendee) - $125

Quantity(Required)

Enter the number of tickets

Please enter a number from 1 to 16.

Total

Submit attendees name list now or by email?

Now

Email (info@pascokidsfirst.org)

Please list the names of the attendees now

Click on the little plus sign on the right to add another attendee to your list.

First Name

Last Name

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After you submit your ticket registration, you will be redirected to the Donate to Pasco Kids First online form to enter your credit card information using eTapestry secure donation process.

Phone

This field is for validation purposes and should be left unchanged.

Special Event Registration

Paint The Night Blue Tickets

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