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Payments for Tickets to CSC Awards Gala
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Note: The 2019 price for each attendee is C$ 240.00 + 31.20 HST = C$ 271.20


Person Placing Order:
Contact's Email:
Contact's Phone:
 
Date for Awards Gala :
Location of Awards Gala :


Details for this Group:
Attendee Name Dietary Restriction
  None   Yes  
  None   Yes  
  None   Yes  
  None   Yes  
  None   Yes  
  None   Yes  
  None   Yes  
  None   Yes  
  None   Yes  
  None   Yes  


We will contact you for details if any person has a dietary restriction indicated.



Recognized Tickets On This Order


Payment Details
(All amounts are CAN$)                

     
Subtotal  
 
Taxes
 
TOTAL (will be charged to your credit card)


Credit Card Information:
Visa     MasterCard                

       
Credit Card Type:  
Credit Card Number:  
Name of Card Holder:  
Card Expiry Date:   Year=       Month=
Card Security Code:  
Card Address - Street:  
Card Address - City:  
Card Postal Code: