SPIRIT TICKET ORDER FORM

Is this your first time attending the Spirit of Thunder Bay event in support of the Lakehead Rotary Club?

I have been to Spirit of Thunder Bay before.This is my first experience.

What is your first and last name?*

What is the business name?

What is your email address?*

What is the best phone number to reach you?*

Would you like to reserve a full table of eight in your name? If yes, of the eight please indicate the number of taster and non-taster tickets below.

YesNo

Taster tickets allow the full scotching-tasting experience and cost $100.00 each. How many taster tickets would you like to order?

Other amount

Non-taster tickets are best for those who do not want to sample scotch and cost $50.00 each. How many non-taster tickets would you like to order?

Other amount

Order Total $

How would you like to pay?*

eTransfer to treasurer@lakeheadrotary.comCheque made payable to Lakehead Rotary ClubVisa or Mastercard

If paying by Visa or Mastercard, please enter the name on credit card

Credit card number (First 12 digits)

Credit card number (Last 4 digits)

If paying by Visa or Mastercard, please enter the expiry date

If paying by Visa or Mastercard, please enter the CVV 3-digit security code

Please note any dietary requirements for yourself or additional guests below.

Additional Comments

Signature

TICKET ORDER FORM