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Rugby Awards Dinner with Wine Tasting Registration
Event Details.
Date of Event:
Saturday, May 5, 2012
Time:
Doors Open 6:00pm - Harbour Room
Cost:
$40.00 / ticket (Steak Dinner & Wine Tasting)
Please complete the form below and select Events you wish to attend.
First Name:
*
Last Name:
*
Telephone:
*
Event Tickets:
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Email Address:
*
Credit Card Payment Details
Confirm Email Address:
*
Payment Amount (CND$):
Cardholder Name:
*
Credit Card Number:
*
Expiry Date:
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*
* = Denotes Required Field
Click only once
, it can take up to 30 seconds to authorize your credit card.
You will receive a confirmation Email of your purchase.
PLEASE NOTE: If your credit card is declined for any reason, you will not get a confirmation email and you will have to fill this form out AGAIN and re-submit it. Any error messages encountered during credit card processing will be displayed below in red.
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