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Registration Form Northern Nite 2024 Red Deer, AB.
Dates: Oct 4/5, 2024

Name(s):(You & escort) __________________________________

Address:
__________________________________________

Phone Number:
________________  Cell: ________________

E-mail:
___________________________________

Cost per person is: $100.00 ($50.00 if you wish to attend only one night.)
There will be no refunds if you cancel after August 15th 2024.
Once the limit of
100 registrants is reached a waiting list will be started.
REGISTRATION DEADLINE IS AUGUST 15th
2024.

Do you or your escort have food sensitivites? Specify:____________________


Send the Registration Form along with your cheque payable to:
 
Anne Baltimore 2
6 Abbott Ave., Red Deer, AB T4R 1B5
                                          
OR
Copy this page, paste into an email, fill in the required blanks and send to: 
abaltimore@shaw.ca to pay by e-transfer.
In the optional notes of the e-transfer state name(s) of those registering.
Security Question if needed:  Where was the 1st function held. Answer: Edmonton.

Receipts will not be issued. 
Your cancelled cheque or e-transfer confirmation will be your receipt.
Confirmation of your registration will be your name(s) appearing at:
 www.northernnite.com/registrants.htm