REGISTRATION FOR Chocolate Tasting

Tuesday, February 9, 2010 or
Wednesday, February 10, 2010


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:

Ann Evans,
285 Eagle Street
Newmarket, Ontario
L3Y 1J7

Closing date for registration: Wednesday January 27, 2010

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)

ADDITIONAL NAMES (Type names in box)
AMOUNT OF CHEQUE (Use arrow to select)
 
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