TUG's 25th Anniversary Party

Reservation Request

Event date/location: October 1, 2010 - Sky Restaurant, Mississauga

* First Name
* Last Name
    Company Name (optional)
* Telephone
* Email
* Number in Party      (Tickets are $25 each plus HST)
       
   
OPTION 1:  
Please charge my Credit Card
Credit Card Number
Credit Card Expiry Date
Receipt Required
   
OPTION 2:  
Phone me for credit card number
or other payment options
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