REGISTRATION FOR GEORGIAN DOWNS

Tuesday, November 10, 2009


TO REGISTER:
1. Complete this form on screen.
2. Print out the completed form.
4. Write cheque payable to RTO District 34
5. Mail cheque and completed form to:

Ernie Polsoni,
75 Bond Crescent,
Richmond Hill, Ont.
L4E 3K6

Closing date for registration: Thursday, October 22, 2009

N.B. PLEASE WRITE SEPARATE CHEQUES FOR EACH FUNCTION


MEMBER'S NAME (Type name in box)

ADDRESS (Type address in box)

PHONE NUMBER (Type number in box)

TABLE RESERVATION
If you wish to reserve a table for 4 or a table for 6, list the names of the people in the party.

WHEELCHAIR ACCESSIBLE SEATING FOR THOSE WHO CANNOT CLIMB STAIRS
Click on check box and give me a call at 905-773-5814

AMOUNT OF CHEQUE (Use arrow to select)
 
Click to print Print
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