An Evening With Her Majesty Registration

Name (*)

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Number Attending (*)

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Phone Number (*)

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Email Address

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Street Address (*)

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City (*)

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Municipality of Residence (*)

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Please check the box if you agree to the following Photo Release Statement:

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Photo Opt-Out Release Statement

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Note: Registration confirmation will not be sent if email address is not provided. Please allow up to 72 hours for confirmation email.

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