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Registration Form

Caribbean Degustation – Rum and Joys of Life

Friday, September 22, 2017 at 07h30PM

Studio Danse 361, Ballroom Hall

8600 Boul. Parkway, Anjou, QC H1J 1N3

 

Please send your Registration Form and payment before July 31st, 2017 to:

Plamen Minchev by email 2017Caribbeandegustation@rotarylavalrivenord.com  or call 819.329.3736

with your payment option:  Cash, Credit/Debit Card or Bank Transfer.  Note: some fees may apply.

 

Your information:

First and Last Name (*): ____________________________________________________________

Address: ________________________________________________________________________

City: ___________________________________________________ Post Code:  ______________

Phone: _____________________________Email (*):  ___________________________________

(*) mandatory

Reservation

 

Please reserve ___________ tickets at $60.00 per person for a total of:                               $ ______________________

Includes: 5 Premium Rum Tastings, hors d’œuvres, caribbean music and dance, networking, all for a good cause.

Notes: Reservation will be confirmed only upon receipt of your payment.

Reimbursement by written cancellation is possible until August 15, 2017.  Some fees may apply.

For further information, please contact Plamen Minchev by email 2017Caribbeandegustation@rotarylavalrivenord.com  or call 819.329.3736