2013 ARTbash Registration
Register your attendance for Lubeznik Center for the Arts ARTbash 2013 here!
Guest Name(s) *
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Address *
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City *
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State *
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Zip Code *
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Phone Number *
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Email Address
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Please seat me/us with NAME(S)....
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Tickets and Options *
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I/we cannot attend but would like to support LCA with a gift donation of $_____
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Food Selections: Please select the entree for your party.If you are a table host, please indicate the total number of each entree in the comments.
Total Due.
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Name as it appears on your credit card. *
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Credit Card Number *
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Expiration Date *
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Security Code *
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Comments
Include here any comments to the event organizers including numbers of each meal or registrations in other guests' names. Thank you!
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