Credit Card Registration

Fields marked * require an entry.

For faster entry into tonight's event please click the check box at the bottom of the page, then hit Next to enter your credit card information.

I would like to make a donation

Donation Amount:

Total:

$0.00

As a convenience, you may pre-register a credit card on the submission page to charge your purchases at event Emergency Medicine GME Casino Night.

I authorize Dignity Health Foundation - East Valley to use the credit card entered on the submission page at event Emergency Medicine GME Casino Night. Once the transaction has completed successfully, a confirmation receipt will be sent to the email address entered.

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