TICKET PURCHASE BY ZELLE

Please fill out the information below and click "submit".

Once your information is received, we will send a request for payment to your Zelle account.

Please send your payment after you receive the request.

NOTE: When you click "submit" below, a message will pop up saying "Survey submitted. Thank You!"
This means your payment information has been received.
You should receive a request for payment notice within 24 hours.


You must be a member to submit this survey. If you are a member please log in first. You can't submit this form until you've logged in.

* Answer Required
1)   * ENTER YOUR NAME AS YOU WANT IT TO APPEAR ON YOUR REUNION NAME TAG
 
2)   * HOW MANY TICKETS WOULD YOU LIKE TO PURCHASE?

  1 TICKET $60.00
  2 TICKETS $120.00
 
3)   IF YOU ARE BRINGING YOUR SPOUSE OR A GUEST, PLEASE ENTER THEIR NAME AS YOU WANT IT TO APPEAR ON THEIR REUNION NAME TAG
 
4)   * WOULD YOU ALSO LIKE TO INCLUDE A DONATION TO THE LOHS 1971 ALUMNI FUND

Yes No
 
5)   IF YOU SAID YES, PLEASE ENTER THE AMOUNT OF THE DONATION YOU WOULD LIKE TO INCLUDE. IF YOU SAID NO, PLEASE SKIP TO QUESTION 5.
 
6)   * YOUR NAME FOR ZELLE PAYMENTS


The name associated with your Zelle account
 
7)   * ENTER THE EMAIL ASSOCIATED WITH YOUR ZELLE ACCOUNT


This is where we will send your request for payment