Mind Over Matter - Platinum Sponsor Payment
Event Date: 10/14/2026
Billing Details
First Name
Last Name
Address
City
State
Alaska
Alabama
Arkansas
American Samoa
Arizona
California
Colorado
Connecticut
District of Columbia
Delaware
Florida
Federated States of Micronesia
Georgia
Guam
Hawaii
Iowa
Idaho
Illinois
Indiana
Kansas
Kentucky
Louisiana
Massachusetts
Maryland
Maine
Marshall Islands
Michigan
Minnesota
Missouri
Northern Mariana Islands
Mississippi
Montana
North Carolina
North Dakota
Nebraska
New Hampshire
New Jersey
New Mexico
Nevada
New York
Ohio
Oklahoma
Oregon
Other
Pennsylvania
Puerto Rico
Palau
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Virginia
Virgin Islands
Vermont
Washington
Wisconsin
West Virginia
Wyoming
Outside of US
Zip/Postal Code
Phone Number
Email (Required for Receipt)
Quantity
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
Payment Amount
$1,000.00
Accepted Cards:
CREDIT CARD NUMBER
EXPIRATION
EXP
DATE
01-JAN
02-FEB
03-MAR
04-APR
05-MAY
06-JUN
07-JUL
08-AUG
09-SEP
10-OCT
11-NOV
12-DEC
2026
2027
2028
2029
2030
2031
2032
2033
2034
CVV CODE
Payments will be applied immediately.
There are no refunds all payments are final. For help email the helpdesk at helpdesk@bhhsne.com
Berkshire Hathaway HomeServices New England / New York / Hudson Valley Properties
35 Thorpe Ave, Suite 201 | Wallingford, CT 06492
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