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PERSONAL INFORMATION
 

First Name:*  Last Name:*
Address1: City:* 
Address2: Prov / State:
Postal / Zip: Main Phone:* 
Work Phone: Fax Number:
Email:*    
EVENT DETAILS
Event Date:*  Event Name:* 
Estimated # People:*  Event Type:* 
Ticket Price :*     
SPECIAL REQUESTS (please use the text box below to also explain any special details)

For more information contact Dianne at (604) 331-7997

Disclaimers
- this proposal does not guarantee a party booking please await further contact for confirmation.

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