Use the form below to register for our Pizza Bingo night! You will select which session (5pm or 7pm) in the form below. NOTE: The 5:00 Session is now SOLD OUT! Pizza Bingo RSVP Form Family InformationRegistrant Name(Required) First Last Email Address(Required) Phone(Required)Registration InformationRegistration may be purchased by individual tickets at $8 per person, OR we are offering a limited number of tables for sale that seat 12 at $90 per table. PIzza Bingo RegistrationChoose Session(Required)Select Session5:00 Session7:00 SessionTicket Type: 5:00 Session(Required)Select Ticket TypeIndividual Tickets – $8.00 each (0 items remaining)Full Table (seats 12) – $90.00 (0 items remaining)Ticket Type: 7:00 Session(Required)Select Ticket TypeIndividual Tickets – $8.00 each (78 items remaining)Full Table (seats 12) – $90.00 (2 items remaining)Number of Tickets(Required)Attendee Names(Required)Please enter the names of ALL attendees you are purchasing tickets/seats for. Press the plus (+) to add additional names (one name per row). First NameLast NameGrade (if student), or “Adult” or “Sibling” Add RemoveSeating RequestsSeating requests are not guaranteed. We will try to honor seating requests on a first-come, first-served basis, as seating space allows. Subtotal $0.00 Online Transaction Fee(Required) Price: $0.00 Total Amount Due Credit Card(Required)Card Details Cardholder Name Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code