Membership Application

Fashion Show and Tea
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Retired
Business/Organization name
Occupation
Reservation*
prevnext( X )
Table Host
Eight people per table, Enter Contest, Chance to win a prize, Free table side champagne, Gifts for the guests at the winning table.

$360.00 Quantity

Ticket
$45.00 Quantity

Total

$0.00
For check-in purposes, please provide the names of all guests below.And let us know if you will participate the Contest.

Pay with Credit Card

Fashion Show and Tea