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St Patrick St Stanislaus Fund Raiser

- Thank you for supporting this annual
  fund raiser!
- The maximum number of form submissions has been reached. This form is currently not available.
  
  Thank you for supporting our Quilt Fund Raiser!
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Street address: REQUIRED Please fill out this field. Please enter valid data.
  
  City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  How many tickets would you like? REQUIRED 5.0 – 2 10.0 – 5 Please fill out this field.
  
  Would you like to cover the 3.1% processing fee? REQUIRED Yes No, thank you. Please fill out this field.
  
  Total:
  
  Submit
  
  Proceed to Payment
  
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