Registration form
Please print out form, complete, and mail to the address on the left with your payment of
$38.00. If paying with Paypal funds, please email registration info to address below.
Please DO NOT bring a snack to pass! This crop takes place in a restaurant. They will
provide our meals.
Name:
Address:
Phone number:
Email address:
Paying with (circle one) Check/Money Order/Visa/Mastercard/Discover/Paypal
Credit Card number (if applicable):
Expiration date:
Signature:
Who would you like to be seated with? (we can accommodate groups of up
to 12 people):
If you would like confirmation that your registration has been received, please email
plevea@adelphia.net
Your canceled check or credit card statement will be your receipt.
Bounced checks will incur a $30.00 service charge.
For more information, please email: plevea@adelphia.net
Please print out form, complete, and mail to the address on the left with your payment of
$38.00. If paying with Paypal funds, please email registration info to address below.
Please DO NOT bring a snack to pass! This crop takes place in a restaurant. They will
provide our meals.
Name:
Address:
Phone number:
Email address:
Paying with (circle one) Check/Money Order/Visa/Mastercard/Discover/Paypal
Credit Card number (if applicable):
Expiration date:
Signature:
Who would you like to be seated with? (we can accommodate groups of up
to 12 people):
If you would like confirmation that your registration has been received, please email
plevea@adelphia.net
Your canceled check or credit card statement will be your receipt.
Bounced checks will incur a $30.00 service charge.
For more information, please email: plevea@adelphia.net
| All rights reserved. |
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Patty's Pig Scrapbooking Event
January 23, 2010
January 23, 2010
If you would like
to pay online
using Paypal,
please click here:
If paying by Paypal, please
email your information
(name, address, phone
number and who you'd
like to be seated with) to
plevea@adelphia.net
to pay online
using Paypal,
please click here:
If paying by Paypal, please
email your information
(name, address, phone
number and who you'd
like to be seated with) to
plevea@adelphia.net
Event Address:
Leonard Post, Jr. Post
VFW
2450 Walden Ave.
Cheektowaga, NY 14225
Leonard Post, Jr. Post
VFW
2450 Walden Ave.
Cheektowaga, NY 14225
Please mail your
completed form to:
Patty LeVea
PO Box 262
Clarence Center, NY
14032
completed form to:
Patty LeVea
PO Box 262
Clarence Center, NY
14032
This event is
SOLD OUT!
SOLD OUT!