Lights On Banquet

NOVEMBER 3, 2017. 1310 W. BETTERAVIA ROAD, SANTA MARIA, CA 93455. CALL 805.714.0786.

REGISTRATION FORM: Lights On Banquet – 2017

    Lights On Banquet Registration Form

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    Your Name (required)

    Your Email (required)

    House number and Street

    City

    State

    Zip Code

    Contact Number

    Church

    Number Attending In Your Group

    Your Message

    Please read before you click send:

    After you click Send, this page will reset to blank. That’s okay. Your registration has been sent. To purchase your tickets, come back to this portion of the page and click on the “Church Bookstore” link, select “Banquet Ticket,” and process your order online: Church Bookstore link. Please click Send before you process your payment. Thank you!
    November 3, 2017, 1310 W. Betteravia Road, Santa Maria, CA 93455. Call 805.714.0786. Doors open at 5:30 pm, dinner served at 6 pm.

    ALTERNATE PAYMENT OPTIONS: You may use the Donate button, but this is not tax deductible since the value of the meal at $25 is within $1 of the full cost of your ticket. Click the Donate button (see upper right column of this page) and process a payment of $25 for each ticket. Ticket price includes entry in all three door prize drawings. Thank you!

    Or you can mail it to The Brain Massage Show, 1310 W. Betteravia Road, Santa Maria, CA 93455. Thank you!

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