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Event Registration

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The First Annual Denim & Diamonds Gala Dinner Dance
Guest Price: $60.00
Event Date: 6/22/2012
Event Time: 7:00 PM PST - 11:30 PM PST
Registration Details  
First Name:*
Last Name:*
Organization:*
Title:
Address 1:*
Address 2:
City:*
State:*
OR Other:
Zip Code:*
Phone:*
Email:*
Registration Details:
Once we receive your online registration, you will receive an email confirmation and payment receipt. Your ticket(s) will be held for you at the door.