Register for Prairie Rhapsody The Benedictine Sisters at Holy Wisdom Monastery are hosting the annual Prairie Rhapsody benefit concert at 5:30 pm on Thursday, September 14, 2017, featuring the Madhatters. Sign up now to reserve your seats! Please fill out the form below to pay with your PayPal account, or with a credit card if you do not have a PayPal account. You will be asked to either log in to your PayPal account on the right side of the screen, or click 'Continue' to use your credit card on the left side of the screen. You can also download a registration form and mail it in with a check or credit card number. Tickets are $50 per person for adults and $20 per person for children under 18. Register by September 5, 2017. Please contact Janet Neurauter at 608-836-1631, x124 or firstname.lastname@example.org if you have any problems registering. Name* First Last Please enter your first and last name as it appears on your PayPal account or on your credit card account.Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Please enter your mailing address as it appears on your PayPal account or on your credit card account.PhonePlease enter a phone number in (###) ###-#### format in case we need to reach you about this transaction.Phone type Home Cell Work Email* Please enter the email address associated with your PayPal account, as well as the address where we will email you confirmation about the event.Number of Prairie Rhapsody adult tickets0 Prairie Rhapsody tickets (I will make a donation to support the event)1 Prairie Rhapsody adult ticket2 Prairie Rhapsody adult tickets3 Prairie Rhapsody adult tickets4 Prairie Rhapsody adult tickets5 Prairie Rhapsody adult tickets6 Prairie Rhapsody adult tickets7 Prairie Rhapsody adult tickets8 Prairie Rhapsody adult ticketsPlease select the number of adult tickets you would like to purchase at $50 per ticket.Number of Prairie Rhapsody child tickets (under 18)0 Prairie Rhapsody child tickets1 Prairie Rhapsody child ticket2 Prairie Rhapsody child tickets3 Prairie Rhapsody child tickets4 Prairie Rhapsody child tickets5 Prairie Rhapsody child tickets6 Prairie Rhapsody child ticketsPlease select the number of child tickets you would like to purchase at $20 per ticket.Please let us know the additional names of people in your party.In addition to my ticket(s), I would like to make this additional donation to support the life and work of Holy Wisdom Monastery. I cannot attend the Prairie Rhapsody concert on September 14, 2017 but would like to make a donation to support the life and work of Holy Wisdom Monastery. Total donation $0.00 This amount will be charged to your PayPal account or your credit card. Please click on the button below to leave our website and continue payment through PayPal. This iframe contains the logic required to handle Ajax powered Gravity Forms.