First & Goal Event

Payments
Space is limited.
If you wish to attend, we encourage you to purchase tickets ASAP.

Credit Card orders or donations
MasterCard, Visa and Discovery are accepted
* Required Fields

*Name:
*Address:
*City:		*State:	*PostalCode:
*Providence/Country:
*Telephone:	replace using the same format
*Email:
Enter Donation and/or Ticket Amounts below, press Calculate to get your total
Donation:
Tickets: Table of Ten $1,350 or per person $150

Checks should be made out to:
PWSA "FIRST & GOAL"
Please mail to:
Bob Bernstein
515 Hilltop Drive
Walpolo, MA 02081