event registration

KASEC Award Night and Christmas Party

Event Information
Date December 9th, Monday 6:30pm
Location Fullerton Community Center (340 W. Commonwealth Ave. Fullerton, CA 92832)
Fee * $5 per person RSVP by December 3rd
* $10 per person RSVP from December 4th
Participants Information
Email
Are you interested in participating in KASEC’s Got Talent Show at the party? (Yes / No)
How many participants?
Full names of all participants
Total $10
billing Information
First Name
Last Name
Address
city
States
Zipcode
credit card Information
Credit Card Type
Credit Card Number
Name on Credit Card
Exp month
Exp Year
Security Code
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