Cake Auction Payment

- This form is not accepting responses at this time.
  
  Thank you for supporting the PISA Cake Auction! All funds raised go to supporting PK - 12 Arts at Regina! If you have questions please contact PISA President Tim Schemmel at [email protected].
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Cake #1 REQUIRED $ Please fill out this field. Please enter a positive decimal.
  
  Cake #2 $ Please enter a positive decimal.
  
  Cake #3 $ Please enter a positive decimal.
  
  Cake #4 $ Please enter a positive decimal.
  
  Cake #5 $ Please enter a positive decimal.
  
  Yes, I'd like to cover the 3% processing fee. REQUIRED 3.1% Please fill out this field.
  
  Total:
  
  Submit
  
  Proceed to Payment
  
  This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.