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'ONCE ON THIS ISLAND' PAYMENT FORM
Required fields are marked with an asterix *

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*Title:

*Payee Last Name:

*Payee First Name:

*Payee Daytime Phone Number:

*Contact Email Address:

(The above details will be deleted once the payment is complete.)

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*Please choose an event:

"Once On This Island"

Friday 23rd October - 11am

Friday 23rd October - 7.30pm

Saturday 24th October - 5pm

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Names of Attendees:

*Person 1:

Title:

Surname:

Firstname:

Person 2 :

Title:

Surname:

Firstname:

Person 3 :

Title:

Surname:

Firstname:

Person 4:

Title:

Surname:

Firstname:

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*Amount:

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