Registration For Regions, Histoire et Specialités De France
Time
6:30 PM
Address
Mount Pleasant SC
HOW MANY PEOPLE?
*
Name first person
First Name
Last Name
Member or Guest First person
*
MEMBER
GUEST
Name second person or guest
First Name
Last Name
Member or Guest Second person
MEMBER
GUEST
E-mail
Phone Number
-
Area Code
Phone Number
PAYMENT OPTION
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next
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Member Regions
$
30.00
Quantity
1
2
3
4
Item subtotal:
$
0.00
Guest Regions
$
35.00
Quantity
1
2
Item subtotal:
$
0.00
1 member + 1 Guest Regions
$
65.00
Register
Should be Empty: