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Holiday Luncheon 2019 Registration Form
Coordinators: Linda Middlemiss and Sabina Bahan
Tickets/Seating: Bonnie Kucey
Contact Information
RegisterIndividual(s) Company
Company
First Name
Last Name
Email
Phone
Ticket Selection
Tables of 10 $850 each
Tickets $85 each
Guests
Enter guest names separated by a comma
Seating Request
Dietary Concerns
Ticket DeliveryWill callDeliver to
Address
CityPostal
Tickets will be available after November 15.
Donation
CHAS women are compassionate about helping children and young adults.
Amount
Tax ReceiptNot requiredBy EmailBy Mail
Address
City Postal
Payment Information
Total Fees Due$0.00
Method of PaymentCredit Card   Mail in a cheque
Credit Card Number
Expiry DateCVC
Name on card