October Dinner Dance Ticket

$105.00 per Couple

October 19^st Dinner Dance Ticket. Ticket to be picked up at the door on the night of the dance.


Contact Information
First Name *
Last Name *
Phone Number *
Email Address
If buying for another couple, please use their name for the contact information.

Your Meal Selection
Meal Selection *	Regular Meal Vegetarian Meal
Special Diet Requirements

Your Partner's Meal Selection
Meal Selection *	Regular Meal Vegetarian Meal
Special Diet Requirements

Reserve a Table
A table will accommodate 8 people. To reserve a table you need to have 6 or more people in your group. If you have less than 8 people then people other than your group may be seated at your table.

Please select the size of the table
	Table For 6 people Table For 8 people

To help us identify members of your group, please enter the first name and last name of one person for each couple joining you at your table. If known please use the contact name that will be used on their tickets.

First Couple in Group
First and Last Name
Second Couple in Group
First and Last Name
Third Couple in Group
First and Last Name

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