2025 Campaign Holiday - Lunch Payment Form | United Way of South Central Massachusetts

First Name

Last Name

Current Employer

Home Address

City

State

Zip Code

Email Address

Phone Number

Payment Option

Credit Card

I will send payment by check

$45 per ticket - send to: UWSCM, 176 Main St., Suite 400, Southbridge, MA 01550

Number of tickets

Please enter in the number of tickets you would like to purchase for each lunch option. Tickets are

Turkey Dinner Ticket

Pot Roast Ticket

Butternut Squash Ravioli Ticket

Registrant Notes

Credit Card