Upstate Circle of Friends
Virtual Luncheon
RSVP Date
Wednesday, December 8, 2021
Your registration confirmation email will contain your GrubHub voucher information.
http://www.ucfgreenville.org
Your Contact Information
First Name
*
Last Name
*
Business Name
Email
*
Phone
*
Address Line 1
*
Address Line 2
City
*
State
*
Alabama
Alaska
American Samoa
Arizona
Arkansas
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip
*
Registration
Activity
Price
Quantity
Total
Virtual Luncheon
$0.00
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
$0.00
Please choose at least one activity.
Total:
$0.00
I want to make an additional contribution.
Donations
Gift Destination
Please select
Reconnecting the Circle
Donation Amount
$
Gift Destination
Please select
Reconnecting the Circle
Donation Amount
$
Gift Destination
Please select
Reconnecting the Circle
Donation Amount
$
Gift Destination
Please select
Reconnecting the Circle
Donation Amount
$
Gift Destination
Please select
Reconnecting the Circle
Donation Amount
$
Add More
Total:
$0.00
Yes, I would like to include the additional processing fee
to the payment.
Total Amount Due:
$0.00
Your Payment Method
Your Billing Information
My billing information is the same as my contact information.
First Name
*
Last Name
*
Address Line 1
*
Address Line 2
City
*
State
*
Alabama
Alaska
American Samoa
Arizona
Arkansas
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip
*
Your Payment Information
Credit Card Number
*
CVV Number
*
What is this?
Credit Card Type
*
Visa
MasterCard
American Express
Discover
Expiration Month
*
01 - January
02 - February
03 - March
04 - April
05 - May
06 - June
07 - July
08 - August
09 - September
10 - October
11 - November
12 - December
Expiration Year
*
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
Additional Comments
Google reCAPTCHA
Please check "I'm not a robot" box above.
Submit
© 2024 - Upstate Circle of Friends.
All Rights Reserved.
Powered By Charityproud