Please fill out the order form below. Online Registration is good through June 25, 2018

CIRCNA XX REGISTRATION

Online Registration
Online Registration good through June 25th
Price Ea.
$
40.00
Item Total
$
0.00
Child Registration
Non-addicts under 18
Price Ea.
$
5.00
Item Total
$
0.00

ENTERTAINMENT

Saturday Night Comedy Show
May not be appropriate for kids
Price Ea.
$
15.00
Item Total
$
0.00
Friday Bingo - 10:00pm
Price Ea.
$
10.00
Item Total
$
0.00
Saturday Bingo - 10:00am
Price Ea.
$
10.00
Item Total
$
0.00

NEWCOMER DONATION

Newcomer Donation
Amounts with change will be rounded to closest dollar

REVIEW YOUR ORDER

SUB-TOTAL
$
0.00
TOTAL
$
0.00