Georgetown Prep -> Student Life -> Homecoming 2011

Homecoming 2011

The Homecoming Dance will be held on Saturday, October 1 from 8pm-11pm in the Hanley Center for Athletic Excellence. Tickets are $40/couple or $20/individual. Tickets can be bought online below or at the door. For more information, please contact Mrs. Elise Canfield at ecanfield@gprep.org.

Student Name

*First Name

*Last Name

Address
Please enter the billing address of your credit card for the transaction to be successful.

*Street

*City

*State

*Zip

*E-mail

*Home Phone

*Parent/Guardian Cell Phone

Guest Information

First Name

Last Name

Guest Parent's Phone

Homecoming Tickets

Couples		@ $40.00
Stag/Individual		@ $20.00

Form Total: $0.00

Credit Card Information

Card Number

Card Type

CCV Code

Name on Card

Expiration Month

Expiration Year

Please review your information. Your credit card will be charged once you click 'Submit'.