VeggieDate


VeggieDate Speed Dating on 8/4/13 is now closed

You can pay via PayPal or credit card-Please do not pay now. If you make a payment it will either be refunded or will be applied towards our next speed dating event.

PayPal payment form:

Amount:$

Which group will you be participating with?

What is your age?


 
VeggieDate Secure Credit card payment form
Amount:
Please give short description of what is being paid for:
Which group will you be participating with?
What is your age?
Phone in case we need to contact you:
Credit card billing information
Full name appearing on credit card:
billing Street Address:
billing City:
billing State:
billing Country:
billing Postal code/ zipcode:
Card Number:
(1111222233334444)
Expiration:
CVV2:
(rightmost 3 digits on back/ amex 4 on front)
Email receipt to:
   

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