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*A Project of Ardeleana Chamber Music Society*

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Online Order Form

Place your order now for only $15!

Parent/Guardian Full Name

Parent/Guardian Phone

Parent/Guardian Email

Participant Full Name

Participant would like Pizza Lunch

Participant Date of Birth

Allergy and Dietary Restrictions

I have another Participant to register

Participant 2 Full Name

Participant would like Pizza Lunch

Participant 2 Date of Birth

Allergy and Dietary Restrictions

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Participant 3 Full Name

Participant would like Pizza Lunch

Participant 3 Date of Birth

Allergy and Dietary Restrictions

Select an item (C$)

One Participant with Pizza Lunch - C$25

One Participant without Pizza Lunch - C$20

Thanks for your registration!

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