Payment Testing
First Name * | |||
Middle Initial | |||
Last Name * | |||
Maiden Name ( PLEASE ) | |||
Spouse/Guest Full Name | |||
Street Address | |||
City | |||
State/Province | |||
Zip/Postal Code | |||
Country | |||
Phone Number | |||
Cell Phone Number | |||
Fax | |||
Email Address * | |||
Confirm Email Address * | |||
If you would like to save the above information in a personal user profile to avoid having to re-enter the information when you revisit this site, enter a password here. The password should be 10 to 50 characters in length and include both upper and lower characters as well as numbers and special characters. | |||
Password | |||
Re-enter Password | |||
Will you be attending any of the following events? | |||
Saturday afternoon LCHS tour? Time: to be determined. |
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Bringing a spouse or guest? |
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Saturday 6 - 10 PM Manito Country Club Dinner |
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Bringing a spouse or guest? |
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Sunday 12 noon to 6 PM Picnic at Manito Park? |
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Bringing a spouse or guest? |
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