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Event Signup

Golden Poppies

11/30/2014
1:00pm
$40 Per Seat

First Name
Last Name
Company
Address
Address (cont)
City
State
Zip
Phone
Email
Number of Seats You Are Purchasing
Cost Per Seat	$40
Coupon Code:

Coupons/Cards MUST be presented at Check-in There may be a balance due if the reservation is made for more seats than the offer/special allows.
Gift Certificate:


Are you meeting friends or are you part of a group? 1. Select a Group Name you will all use (example: Mary's Birthday, Crazy Gal's Night Out, etc.) 2. Have everyone add the group name on their registration form under "Group Name" 3. We will reserve a spot for all of you to sit together!
Group Name: (ex: Whitney's Birthday)

I agree to the terms and conditions of the Cancellation Policy.