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RED HAT RUCKUS REGISTRATION FORM
Thursday, September 20, 2007
10:00am to 5:00pm - Ballroom - Coast Capri Hotel,  Kelowna B.C.

Please print clearly:

Name: ____________________________________________________________

Chapter Number#___________________________________________________  

I am a Queen Mother:  yes____no____ I am a Pink Hatter: yes____ no____

Address:__________________________________________________________

City:___________________________________Postal Code:________________

Phone Number________________________________________________  

Email address    ______________________________________________

I would like to order:       chicken dinner________ salmon dinner _______

TICKET OPTIONS
FULL DAY TICKET (PAYMENT TO BE RECEIVED BEFORE JULY 10TH) $45.00 (AFTER JULY 9TH $50.00)
Tickets for OPTIONAL "AFTER PARTY": Dinner & PJ Party Package $35.00 (space limited) $40 after July 9th
HOTEL RESERVATION TO BE MADE ON YOUR OWN ($115/ROOM - REG RATE IS $180)

CHECKS PAYABLE TO:    RED HATTERS
Mail to:  
Red Hat Ruckus, 935 Bartholomew Court , Kelowna B.C. V1W 4N2  

 one  ticket @ $45 ea :_________________

 one  ticket @ $50 ea :___________________  

one ticket @ $35 ea - "After Party" __________________

one ticket @ $40 ea - "After Party" __________________

Pre-order door prize tickets: (ALL proceeds for purchase of defibrillator)

                           1 ticket/$2 or 3/$5 or 7/$10 _____tickets for $_______________

TOTAL AMOUNT OF THIS ORDER  $_______________

I am staying at the Capri Hotel yes_____no_____

ONE order form per person please so we have your food requirements.
 Tickets must be purchased before Aug. 20th. No refunds.

I HAVE READ THE "FINE PRINT" AND UNDERSTAND THE EVENT POLICY WITH REGARD TO:

WAIVERS, ADMITTANCE AND REFUNDS ____________________________________________
                                            please sign above

To print this page, highlight the form, go to file, print and "print selection" It will easily fit on 1 page.
Registrations received after July 10th may not be confirmed until After Aug. 10th.