Family Portal | Nightlight Christian Adoptions Website

Savor the Magic Registration Form

 

Nightlight Christian Adoptions
Savor the Magic Fundraiser - Featuring Jack Kelly

Saturday, October 12, 2024
6:00 pm

Eagle Mountain Vineyards & Winery
2330 Highway 11
Travelers Rest, SC 29690

Donation
Reservation
Please select the number of tickets you wish to purchase
$
Donor Information
Last Name*
First Name*
Middle Name
Donor Address
Street Address*
Street Address Line 2
City*
State/Region*
Enter Region
Zip Code*
Donor Contact Info
Home Phone
()-ext
Enter Int'l Number
Home Email*
Credit Card Information
Secure credit card payment
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Credit Card Number
*
Credit Card Expiration Month *
Credit Card Expiration Year *
Credit Card Security Code
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