BINGO Night Fundraiser 2023 – Midwest Hemophilia

Who wants to play BINGO?!?! Mark your calendar for an evening of laughter, excitement, and entertainment at the Midwest Hemophilia Association’s Music & Movie BINGO Night Fundraiser!

2 Rounds: $25 per card per round OR 2 cards for $40 per round!

Appetizers are on us!
Cash Bar!
50/50 Raffle

By joining us in the fun-filled event, you’ll have a great time and make a lasting impact on our community. Gather your friends, colleagues, or family, and come support a cause that makes a difference. We can’t wait to see you!

Open to anyone over the age of 21 years. Secure your spot by pre-registering below.

October 24 2023 - BINGO Night Fundraiser

Adults Attending:*
Click the PLUS sign next to the box to add more. Diagnosis examples: Hemophilia A, Hemophilia B, von Willibrands, Carrier, Other, N/A
First Name Last Name Date of Birth Diagnosis
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Email
Please sign me up for:
- Round 1 with 1 BINGO card ($25)
- Round 1 with 2 BINGO cards ($40)
- Round 2 with 1 BINGO card ($25)
- Round 2 with 2 BINGO cards ($40)
Onsite Cash, Debit & Credit Card payments only please.
Are you employed by a specialty pharmacy or product manufacturer?*
- No, I am not employed by a specialty or product manufacturer. .
- Yes, I am employed by a specialty pharmacy or product manufacturer.
Photo Consent Opt Out -From time to time, the Midwest Hemophilia Association (MHA) will want to use pictures and/or videos from our events to promote bleeding disorder programs and MHA's activities. Please check the box below if you would NOT like to grant permission to be able to use your image or those who have registered for that purpose.
- Yes I DO consent to the use of pictures of videos.
- No I do NOT consent to the use of pictures of videos.

Thank you to the following sponsors:

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Date
Date(s) - October 24 2023 at 6:00 PM - 9:00 PM

Location
Llywelyn's Pub

Category(ies)

Education

First Name	Last Name	Date of Birth	Diagnosis