"One Night in the Seoul of Korea" Ticket Order

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5 March 2016 at The Venue

First Name *

Last Name *

Address *

Postal Code *

Email address *

Your tax receipt will be sent to you via email

Phone number (e.g., 7057430882)

Number of tickets I would like to purchase *

$150 each; $100 tax receipt

1. Guest Name and Email Address

e.g., Sally Smith - sally@info.ca

2. Guest Name and Email Address

3. Guest Name and Email Address

4. Guest Name and Email Address

5. Guest Name and Email Address

6. Guest Name and Email Address

7. Guest Name and Email Address

Comments (e.g., dietary requirements, seating arrangements, invoice required etc.)

I would like to make my payment via *

Paypal (you will be directed to the link after submitting the form)

Cheque (please make out your cheque to "New Canadians Centre" and mail it to 221 Romaine Street, Peterborough, Ontario, K9J 2C3)

Other:

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