Dinner of the Month Ticket Request
Tickets purchased before December 31st, 2020 provide 12 opportunities to win a restaurant voucher!
Proceeds in support of Southampton Rotary Club Projects.
Thank you for your interest. . Please complete the following information and we will then get back to you to take payment and arrange delivery of the tickets. See our website for full details:
www.southamptonrotary.com
License # xxxxxx
* Required
Email address
*
Your email
Name
*
Your answer
Address (Full Mailing address including Post Code)
*
Your answer
Telephone #
*
Your answer
How many Tickets required? (Tickets $25 each or 5 for $100. If you need more than 5 please make a separate application)
*
One Ticket ($25)
Two Tickets ($50)
Three Tickets ($75)
Five Tickets ($100)
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