June 15 Rally Ticket Order Form

First Name:
Last Name:
Address:
City, Postal Code
Home Phone #:
Cell Phone #:
Work Phone #:
Paying by Credit Card -
best time to telephone you
to get your credit card #
Paying by Cheque -
will mail cheque
Number of Tickets
(1 table of 8 = $96.00)
(Individual Ticket = $15.00)
Notes
 
 
   
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