To register complete the form below and click the submit data button
Note: Blue fields are required entries.  Please use Upper and Lower Case when entering data.
You will automatically be charged for an entry in Spouse/Guest field below!! .


First name  Last name 
Spouse/Guest First name  Spouse/Guest Last name 
Mailing Address 
City  State
Zip Code
Phone  E-mail 

Tables seat eight. Request whom you would like to be seated with at the Ball.
They need to register and pay for their tickets in order to make an attempt at seating you together. ( NO GUARANTEES OF SEATING)
( Note: Do not add yourself or the spouse/guest name entered above.These fields are just for additional people you wish to be seated with !)

First name Last name 

For more information Contact Max Hartley: 916-384-6629 or email1marine@sbcglobal.net


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