Event Reservation Form

Contact Information

Title

*

First Name

*

Last Name

*

Address

*

City

*

Province

*

Postal Code

*

Email

*

Attendee Information

Guest Type	Number of Guests	Amount	Total
Family Membership - include seats		1200.00
Individual Membership - includes seats		1100.00
Senior (65+) Membership - includes seats		1000.00
Daycare / HS Family Membership - includes seats		600.00
Family HH RSVP - includes 2 adults & children		500.00
Individual HH RSVP		250.00
Total

Payment Information

Reservation Amount

*

Total Amount

*

Card Number

*

Card Expiration

*

*

Security Code

*

Same as above

Name on Card

*

Billing Address

*

Postal Code

*