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2019 Bridge Luncheon Registration Form
Coordinators: Carrie Ferguson and Liette Desrochers
Tickets/Seating: Liette Desrochers
Contact Information
First Name
Last Name
Email
Phone
Ticket Selection
Tables $240 each
Guests
Enter guest names separated by a comma
Dietary Concerns
Tickets can be picked up at CHAS meetings or at the sign-in table the morning of the event.
Payment Information
Total Fees Due$0.00
Method of PaymentCredit Card   Mail in a cheque
Credit Card Number
Expiry DateCVC
Name on card