Please indicate the full name of your
1. Register now through paypal
Reds, Whites & Bites Inaugural Wine Tasting and Lottery
Achieva Credit Union Headquarters
Two ways to register for the event:
Thank you for your interest in attending the event.
What: The Inaugural Reds, Whites & Bites Wine Tasting and Lottery - Benefiting the Community Dental Clinic
When: March 10, 2018, 7PM-10PM
Tickets: Regular $125.00 (includes 1 Lottery Ticket) Patron $175 (includes 2 Lottery Tickets)
Dress: Dressy casual attire
Parking: Self and valet available
Contact for additional event/registration information: Pamela Iusi @ 727.216.6155
Sponsorship information: For additional details on becoming a Reds, Whites & Bites event sponsor, please visit our sponsorship information page.
*****Please change the quantity in paypal for the number of attendees.
HELP - I still have questions before I register for the event! Fill out the below form and we will respond in 24 hours. For immediate assistance please call the clinic at 727.216.6155
As required by Section 170 of the Internal Revenue Code, we acknowledge that the portion of this gift is tax deductible according the IRS guidelines. Please save future tax letters for your tax records. The Community Dental Clinic, Inc. is a 501(c)3 nonprofit and your donation is a charitable deduction to the extent allowed by law. The Community Dental Clinic, Inc. is registered with the State of Florida in compliance with Ch. 496. A copy of the official registration and financial information may be obtained from the Division of Consumer Services by calling toll-free 1-800-435-7352 or visiting www.800helpfla.com. Registration does not imply endorsement, approval or recommendation by the state.
2. Pay by check
type of ticket (regular or patron)
number of guests
full guest names
phone number to contact prior to event
Community Dental Clinic
PO Box 2957
Clearwater, FL 33757