If you would like to register for Wings and Wheels and pay by check, please print a copy of this form and send with payment to:

Wings for Success
P.O. Box 1184
Frazer, PA 19355

Tickets: $75 per person ($85 per person after 9/8/21)

Purchaser Contact Information:

Name ___________________________________________________

Address _________________________________________________

City ______________________ State _________ Zip _____________

Cell ________________________

Email ___________________________________________________

How many tickets are you purchasing? ___________

Wings and Wheels will feature an online electronic bidding website where guest can view raffle packages and buy raffle tickets using their mobile device.

When purchasing your event tickets, please provide a name, mobile number and email address for each guest that you are registering. Closer to the event date, each guest will receive a text message and an email with their personal bidding link to access the online site.

Guest 1 Contact Information:

Name _______________________________________________

Cell ________________________

Email _______________________________________________

Guest 2 Contact Information:

Name _______________________________________________

Cell ________________________

Email _______________________________________________

Contact: info@wingsforsuccess.org or 610-644-6323