The Julie Fund

Stay At Home Event

Quantity
Price
Total
Single Ticket

Four (4) care packages sent to our patients

X
$
100.00=
$
0

Turbo Ticket

$250 Grocery Gift Card for one of our patients

X
$
250.00=
$
0

Final Total:
$
0

Contact Information

Country*
Email*
Confirm Email*
Phone*

Payment Information

Amount*
$
Payment Type
We only accept credit/debit card payments. After you complete this form, select Submit to enter your card details into our secure transaction processor. Your submission will be processed when you finalize your secure payment information.
Additional Comments

Share This Form

Powered by eTapestry