Jonathan Jackson "Afternoon Tea"
 - Please complete all lines of information 
- Complete 1 registration for each attendee
- You will receive the full address of the venue after you register. The event which will be held on October 9th from 3pm-5pm. The address will be sent to the email you provided on the form below.
Questions? Email:
First Name (as you would like it to appear on your name tag) *
Last Name *
Street Address (your verifiable street address) *
City  *
State  *
Zip *
Cell Phone Number *
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