Couples Event Registration
Friday, January 24
7:00 p.m.
$20 per couple
Name
*
First Name
Last Name
E-mail
*
Spouse Name
*
First Name
Last Name
Spouse E-mail
*
Would you like to register and pay for friends?
Yes
No
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Next
Friend #1
First Name
Last Name
Spouse
First Name
Last Name
Email
example@example.com
Friend #2
First Name
Last Name
Spouse
First Name
Last Name
Email
example@example.com
Friend #3
First Name
Last Name
Spouse
First Name
Last Name
Email
example@example.com
Back
Next
The cost of this event is $20 per couple.
Your Total Cost is:
Submit Registration and Continue to Payment
Should be Empty: