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NORTHERN NITE HOME PAGE
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Registration Form Northern Nite 2026
Chilliwack, BC.
Dates: Oct 16/17, 2026
Name(s):(You & escort) __________________________________
Address: __________________________________________
Phone Number: ________________
Cell: ________________
E-mail: ___________________________________
Cost per person
is: $110.00 (Friday only $50.00, Saturday banquet
only $80.00)
Once the limit of
150 registrants is reached a
Waiting List will be started.
Do you or your escort have food sensitivites?
Specify:____________________
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Send the
Registration Form along with your cheque payable to:
Ken Jones #15-42312 Yarrow Central
Rd, Chilliwack, BC V2R 5E2
OR
Do an e-transfer to:
k29j32@gmail.com
In the optional notes of the e-transfer state name(s) of
those
registering, address, phone #s, email address & food
allergies.
Security Question if needed:
Home of RCMP. Answer: DepotDepot.
Select your own
Security Question and answer if you
wish. |
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
Are you interested in a Wine Tasting tour to
Whispering Horse Winery?
Yes□
No□
Cost to be
determined.
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