Honour Scroll Banquet

Business Name

Name

First Last

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Street Address Address Line 2 City Province Postal Code

Choose Your Registration Option

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Select a package

Individual Banquet Ticket ($70+GST) - $70.00 CAD

Table of 8 ($525+GST) - $ 525.00 CAD

Chris Henderson Concert Tickets - ($23.81+GST) $25

Quantity(Required)

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Please enter a number greater than or equal to 1.

GST

$ 0.00 CAD

Total

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Security Code Cardholder Name

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