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Ladies Christmas Dinner
Saturday, December 7th @ doors open at 5:00pm
15
Questions
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1
I am :
A lady registering for the dinner.
A man registering to volunteer for the evening.
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2
Name
*
This field is required.
First Name
Last Name
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3
Email
*
This field is required.
example@example.com
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4
Phone Number
*
This field is required.
Please enter a valid phone number.
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5
Do you have a specific person or host you would like to request to sit with?
Please know, you are not guaranteed to be sat at this specific table, this will be on a best efforts basis only. Thank you for understanding!
Yes I do!
No, I will sit wherever!
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6
Who would you like to request to sit by?
Please know, you are not guaranteed to be sat at this specific table, this will be on a best efforts basis only. Thank you for understanding!
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7
Do you have an additional person to register?
*
This field is required.
Please be sure to include this person when paying for tickets.
YES
NO
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8
Name
First Name
Last Name
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9
Do you have an additional person to register?
Please be sure to include this person when paying for tickets.
YES
NO
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10
Name
First Name
Last Name
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11
Do you have an additional person to register?
Please be sure to include this person when paying for tickets.
YES
NO
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12
Name
First Name
Last Name
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13
Do you have an additional person to register?
Please be sure to include this person when paying for tickets.
YES
NO
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14
Name
First Name
Last Name
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15
Please update the number of tickets you are purchasing
*
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My Bag
1
My Bag
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Great Product Name
$20
Quantity:
1
Size:
Small
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Great Product Name
$20
Quantity:
1
Size:
Small
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Great Product Name
$20
Quantity:
1
Size:
Small
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Great Product Name
$20
Quantity:
1
Size:
Small
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ORDER SUMMARY
Total cost
USD
Ladies Christmas Dinner Ticket
Please select the number of people you are registering
$
10.00
+
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Quantity
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
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