Event Registration Form

12/16/2008

Holiday Social Location
   
Barcelona Tapas
   201 N Delaware St

Please complete ALL relevant fields.
NOTE: Some computers may have a pop-up blocker, which will need to be changed to "allow".
Click here if the Reservation Payment Screen did not come up after you submitted this form.

$30 for each registrants

Company Name

Primary Registrant Name

Direct Telephone Number

Email


2nd Registrant Name


Email


3rd Registrant Name


Email


4th Registrant Name


Email

Additional Notes

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