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Remember, your registration request is not complete until we receive both a registration form and payment.  You will receive a confirmation email when we receive and process both the form and payment.

Questions?  Concerns?  Contact Ric Goldman at registrar@portlandecdball.info
or call 650-906-8707 (10a-10p only).


 

2017 Portland English Country Dance Ball
Registration Form

Guest 1
Name: First Last
Name tag: (if not first name)
Street address:
Postal code:
City:
State/Prov:
Country: (if not USA)
Phone: (xxx-xxx-xxxx)
Email address:
Guest 2
Name: First Last
Name tag: (if not first name)
Check if address same as for Guest 1
Street address:
Postal code:
City:
State/Prov:
Country: (if not USA)
  Check if phone same as for Guest 1
Phone: (xxx-xxx-xxxx format)
Email address:

 Please reserve place(s) at $ per person.

 I'm including a tax-deductible donation of $ to benefit the Ball.

 Total amount due $.


 Hospitality

  I need hospitality...

  I can provide hospitality...

NOTE: Hospitality/hosting assignments may not be communicated until a few weeks before the Ball.  If your hospitality needs or hosting arrangements change, or you have questions, contact hospitality@portlandecdball.info.


 Volunteering (Thank you!)

  I am willing to help out...

NOTE: If your volunteering arrangements change, or you have questions, be sure to contact volunteer@portlandecdball.info.


 Final comments

  YES! Please share my information with other organizers/events.

Please elaborate on any of the above questions or add any additional comments about your registration. Let us know if we missed anything, or there is something else we should know