Annual Foundation Gala - Tickets
Name
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Email
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Special Instruction
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Address
Apt
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Street
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Postal Code
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Province
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ONLY 2 letter (e.g: ON for Ontario)
Dinner Tickets: $130 per person
Quantity:
*
Amount(in CAD):
*
Attendee No. 1
Select Dinner
Chicken Duxelle (stuffed with mushrooms, shallots and herbs)
Stuffed Peppers (vegetarian/vegan)
Specify Dietary Restriction
:
Yes
No
Attendee No. 2
Select Dinner
Chicken Duxelle (stuffed with mushrooms, shallots and herbs)
Stuffed Peppers (vegetarian/vegan)
Specify Dietary Restriction
:
Yes
No
Attendee No. 3
Select Dinner
Chicken Duxelle (stuffed with mushrooms, shallots and herbs)
Stuffed Peppers (vegetarian/vegan)
Specify Dietary Restriction
:
Yes
No
Attendee No. 4
Select Dinner
Chicken Duxelle (stuffed with mushrooms, shallots and herbs)
Stuffed Peppers (vegetarian/vegan)
Specify Dietary Restriction
:
Yes
No
Attendee No. 5
Select Dinner
Chicken Duxelle (stuffed with mushrooms, shallots and herbs)
Stuffed Peppers (vegetarian/vegan)
Specify Dietary Restriction
:
Yes
No
Attendee No. 6
Select Dinner
Chicken Duxelle (stuffed with mushrooms, shallots and herbs)
Stuffed Peppers (vegetarian/vegan)
Specify Dietary Restriction
:
Yes
No
Attendee No. 7
Select Dinner
Chicken Duxelle (stuffed with mushrooms, shallots and herbs)
Stuffed Peppers (vegetarian/vegan)
Specify Dietary Restriction
:
Yes
No
Attendee No. 8
Select Dinner
Chicken Duxelle (stuffed with mushrooms, shallots and herbs)
Stuffed Peppers (vegetarian/vegan)
Specify Dietary Restriction
:
Yes
No
Credit Card Number
*
(Only Visa and Mastercard are accepted)
Month
*
(1) January
(2) February
(3) March
(4) April
(5) May
(6) June
(7) July
(8) August
(9) September
(10) October
(11) November
(12) December
Year
*
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
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