Farm to Table Registration 2018

Registration Form

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* 1. Contact Information (for the person purchasing the tickets)

Name *

Address *

Address 2

City *

State *

ZIP *

Email Address *

Phone Number *

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* 2. In the box below, confirm the name that will be on the payment paperwork so that this registration form can be correctly matched with its corresponding payment. (ex. PAID by John Doe.)

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* 3. How many Farm to Table Dinner tickets will be purchased under your name?

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* 4. In the box below, list the names that will use the Farm to Table Dinner tickets purchased under your name.

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* 5. If you have any questions about the Farm to Table Dinner, please enter them below, and a staff member will respond.

The dinner will take place in Hotel Lakeside Front Lawn and cost $45 per person.

Please note that this online registration process is not finalized until payment is received. All fees for the Farm to Table Event are non-refundable. Payment can be submitted online: https://tickets.lakesideohio.com.

You will receive an email confirmation when your two-step registration is complete.