EmailMe Form - 2024 Jumbo Shrimp Community Event

EVENT DETAILS:
Date: September 20, 2024
Time: 6:00 PM; game starts at 7:05 PM
Cost: $14 per ticket
Location: Jacksonville Shrimp Stadium
301 A Philip Randolph Blvd.
Jacksonville, FL 32202

PLEASE NOTE: Tickets will be emailed to you after your purchase.

FCHCC Jumbo Shrimp Commerating the Legacy of Roberto Clemente Community Event

Are you a member of FCHCC? *

Yes

No

Name: *

First Last

Address: *

Street Address City State / Province / Region Postal / Zip Code

Email Address (MUST BE A WORKING EMAIL as this is where you'll receive your registration information.)

Retype Email Address:

Cell Phone: *

### - ### - ####

Do we have your permission to text you an alert as a reminder prior to this event? (We will not share your # nor use it in any way not related to this event and no more than two texts will be sent). *

Yes

No

Business Name:

Number of Employees at your Organization: *

0-25

51-75

76+

Question not applicable as I'm not part of any organization at this time.

Annual Revenue at your Organization: *

up to $500K

greater than $1M

$500K - $1M

Question not applicable as I'm not part of any organization at this time.

Is your Organization a certified minority and/or disadvantaged-owned business? *

How did you find out about this event? *

Choose the # of tickets you want to purchase: *

Price per ticket with credit card fee (DO NOT TYPE - FOR ADMIN PURPOSES)

Note: a credit card processing fee will be added at checkout.

Price

$ Dollars . Cents

PAYMENT DISCLOSURE:
By pressing "Submit", you'll be redirected to our Payment Screen to purchase your tickets. Once you've made your payment, you will be registered for this event.

IMPORTANT: you must purchase your tickets prior to this event so that we can email you your tickets.

NOTE: If FCHCC has to send you an invoice for payment, you are responsible for the amount due. *
I agree with this disclosure.