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FGO Event Reservation Email Form
Name
Patron#
Address(1)
Address(2)
City
State
Zip Code
Telephone Number
Email Address
EVENT INFORMATION
Event Name
Event Date
Number of Tickets
Guild Member Total $
Number of Tickets
Non-Guild Member Total $
I Cannot Attend but want to contribute $
Seated With
Total Amount of Check $
Please make checks payable to:
THE
FLORIDA GRAND OPERA
Attn: Rosa-Rita Gonzalez
230 174th Street, Apt. 1508, Aventura FL 33160
PLEASE
REFERENCE YOUR SUBMISSION OF
THIS ONLINE RESERVATION FORM.
If prefer to pay by credit card, please provide the best
telephone number for us to contact
you.
(Please
do not
enter credit card number in this field)
Guild Member?Yes
No
Please utilize this box for additional comments/remarks.
(Please send one time only. You may clear form after sending.)
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