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Niagara Naturists Event Registration
First Name:
Middle Initial:
Last Name:
Marital Status:
--
Married
Single
Other
Phone:
Format: 555-555-1212
Email:
Number of People attending:
First and Second name if more that 1 person attending:
Select Event
Event
June 6 21 Nude Potluck Dinner at the Lodge
Event Cost:
AANR/NN member 1 person $20.00
AANR/NN member 2 People - $40.00
Non-member 1 person $25.00
Non-member 2 People $50.00
Amount:
$
Comments/Notes to Club
