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About Past Events

Women's Book Club

Women's Book Club Registration Form
Full Name

First Name Last Name
E-mail*
Phone Number

Area Code Phone Number
Lunch Fee

$18
Book Order Optional

$15
Optional Donation / Be a Sponsor

$18 $36 $54 $72 $118 $180 $360 $540 $800
Notes
Total

$0.00

Yes, I'd like to donate the cost of processing this transaction by adding 3%

Payment Method

Credit Card

Credit Card Type
Credit Card Number	Security Code
Name on Card
Expiration Month	Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

I would like to receive news and updates by email
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