SLV: Register For Our Tennessee Event

Registration Form- "Tennessee Inaugural Gathering "

September 27, 2009 to October 4, 2009

The primary use for this registration form is for visitors who have a paypal account. For those who wish to do it the "old way", please fill out this form and proceed to the second page, where you will hve a verification of your selections from the first page. You will need to go no further as the rest of the process assumes you have a paypal account or wish to use that payment process to register for this event.
Print it out and mail it, with a check for the full purchase price (we aren't taking partial payments this time) to: Tennessee Gathering
8424-A Santa Monica Blvd
#119
Los Angeles, CA 90069

First Name:
Last Name:
Phone (home):
Phone (alt):
Address:
City:
State
Zip:
Country:
email:
Club Affiliation:
Over 21?¹:
DOB: (M/Y):
List In Club Directory:
Can Host?
Partner²
Which Event?

Options

Please select one 'Gathering Option', and if you will need a ride and linens for the event.

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