GALA EVENT TICKET REQUEST FORM     
Step 1:COMPANY INFORMATION
(Fields marked with an * are required)

Company Name: *
Address: *
(Tickets will be forwarded to this address)
City: *
Province/State: *
Country: *
Postal/ZIP Code: *
Fax Number:
Contact Name: *
Phone Number: *   Ext:
E-mail Address: *

Step 2:ORDER INFORMATION
No. of Single Tickets ($200): $
No. of Tables of 10  ($1800): $
Subtotal:$
HST (13%):$
TOTAL:$
Cancellation Policy: 3 weeks prior to event 50% refund; within 3 weeks NO REFUND
 
Not sure how to complete this e-form?
 Contact Dee Klemann at 416. 259.7827 x 233 or dee@theopma.ca