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Registration Form

Package Name	Amount	Quantity	Subtotal

Luncheon Ticket	$225.00		$0.00



VIP Individual Ticket	$1,500.00		$0.00

Total:

$0.00

As a convenience, you may pre-register a credit card on the submission page to charge your purchases at event 13th Annual Mama's House Luncheon.

I authorize Mama's House - Heartbeat at 22 to use the credit card entered on the submission page at event 13th Annual Mama's House Luncheon. Once the transaction has completed successfully, a confirmation receipt will be sent to the email address entered.

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