55+ Fall Dinner Registration
October 24, 2026
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Address
Street Address
Street Address Line 2
City
Province
Postal Code
Are there any dietary restrictions we need to be aware of?
*
Yes
No
Please detail all dietary restrictions/concerns.
My Products
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Fall Dinner Ticket
one per person
$25.00 CAD
$
25.00
CAD
Quantity
Guest's Name
*
First Name
Last Name
Guest's Name
*
First Name
Last Name
Guest's Name
*
First Name
Last Name
Guest's Name
*
First Name
Last Name
Guest's Name
*
First Name
Last Name
Payment Methods
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