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Package Name Amount Quantity Subtotal

Single Ticket $0.00

Couple Ticket (2 included) $0.00
Registration opens: Friday, September 5, 2025
Registration closes: Wednesday, October 22, 2025

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I authorize Krempels Brain Injury Center to use the credit card entered on the submission page at event Friends of Krempels MASKerade Party. Once the transaction has completed successfully, a confirmation receipt will be sent to the email address entered.