Rivertown New Year's Ball

2011 RiverTown New Year's Eve Ball
sponsored by Mr and Mrs Club of Columbus, Ga.

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New Year's Eve Ball Ticket Request
Note: this site support the use of Paypal for all ticket purchases.
Select Table number desired	First Second Third
Number of seats	@ $65.00 each

Purchaser Name	First Last
Address
City, State, Zip

List the names of those attending with you.	#1
	#2
	#3
	#4
	#5
	#6
	#7
	#8
	#9


Contact Phone Number	--
Contact E-mail

After receiving your payment notification your selection will be recorded and your tickets mailed to your shipping address as specified during your payment processing with Paypal.

If for any reason your specific table request cannot be awarded you will be contacted with alternate table options.