40th Anniversary $ Donation Amount: Please replace the default $36.00 amount above with the actual amount of your payment (if that total amount is different) Select Payment Method Stripe - Credit Card Please select the type of ticket(s) and quantities for which you are making payment and then enter the total payment amount into the payment box above. You can also pay by contacting our administrator at shayam@comcast.net or 508-228-6588. Payment is for * Required Payment is for * Required $180 each = Standard Ticket $36 each = Late-Night Ticket Any amount = I can’t attend, but want to donate in honor of this special anniversary Number of Standard Tickets * Required Please provide full name(s) in which Standard Tickets are to be registered * Required Number of Late-Night Tickets * Required Please provide full name(s) in which Late-Night tickets are to be registered * Required Personal Information of Donor Title Mr. Mrs. Ms. Miss Dr. Mr and Mrs. Dr and Mr. Dr and Mrs. Dr and Ms. Drs. Sr. Fr. Rev. First Name * Last Name * Email Address * Phone * Credit Card Information This is a secure SSL encrypted payment. Card Number * CVC * Cardholder Name * Expiration * Billing Details Country * United StatesCanadaUnited KingdomAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarrussalamBulgariaBurkina FasoBurundiCambodiaCameroonCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic People's RepublicCongo, Republic ofCook IslandsCosta RicaCote d'IvoireCroatia/HrvatskaCubaCyprus IslandCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEquatorial GuineaEl SalvadorEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGreeceGhanaGibraltarGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly See (City Vatican State)HondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyan Arab JamahiriyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldova, Republic ofMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestinian TerritoriesPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandPolandPortugalPuerto RicoQatarReunion IslandRomaniaRussian FederationRwandaSaint HelenaSaint Kitts and NevisSaint LuciaSaint Pierre and MiquelonSaint Vincent and the GrenadinesSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovak RepublicSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsEswatiniSwedenSwitzerlandSyrian Arab RepublicTaiwanTajikistanTanzaniaTogoTokelauTongaThailandTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands (British)Virgin Islands (USA)Wallis and Futuna IslandsWestern SaharaWestern SamoaYemenYugoslaviaZambiaZimbabwe Address 1 * Address 2 City * State * AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingAmerican SamoaCanal ZoneCommonwealth of the Northern Mariana IslandsFederated States of MicronesiaGuamMarshall IslandsNorthern Mariana IslandsPalauPhilippine IslandsPuerto RicoTrust Territory of the Pacific IslandsVirgin IslandsArmed Forces - AmericasArmed Forces - Europe, Canada, Middle East, AfricaArmed Forces - Pacific Zip / Postal Code * Total: $36.00 {amount} donation plus {fee_amount} to help cover fees.
