Home | Events | Fundraisers | Donations | Guests of Honor | Facts | Links | Sponsors | Contact Us

Register for a C4L Event

 
* Denotes a required field
First Name*
Middle Name
Last Name*
Address*
City*
State*
Zip*
Phone*
Email*


Celebration for Life Picnic/Auction
Saturday, September 25, 2010
CostQtySubtotal
Picnic/Auction - Adult $20
Picnic/Auction - Child FREE  
Sponsor - Friend $200
Sponsor - Celebrant $500
Sponsor - Life Giver $1000


2nd Annual Car Show
Would you like to register for our 2nd Annual Car Show? Yes   No
Make of Car:
Model of Car:


Complete Your Registration
TOTAL FEE
Payment Type

Your order will not be processed until payment is received through the Paypal online payment system (no account required). Please Note: We accept cash and checks only on the day of the event.

Note: Tickets will be reserved at the door for pick-up on the day of the event.

Verification:*
In order to minimize abuse/spam, please enter the text you see into the input field below. The text is case-sensitive (all upper case, letters and numbers only).
Verify Code
Enter code as shown above:
 




Celebration for Life Inc. :: 225 Black Road, Quarryville PA 17566 :: Phone: (717)529-6674 :: Email: miriam@epix.net