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American-French Genealogical Society

A.F.G.S. - 2013 Hall of Fame Induction Ceremony  

Reservation Order Form


Reservations for the event are $15.00 per person

Please Select The Number Of Reservations You Wish To Purchase

Important Tickets will not be sent
Please print your the page which states Order Processed Successfully! This will contain your Order reference number.
 One  Reservation $15.00  Two Reservations $30.00 Three Reservations $45.00
 Four  Reservations $60.00  Five Reservations $75.00 Six Reservations $90.00

FOR MORE THAN SIX Reservations OR QUESTIONS CONTACT NORMAND DERAGON

 
* Name:
Organization
* Address:
Address line 2:
* City:
* State (Province):
* ZIP:
* Country:
* Telephone Day Evening
* Internet E-Mail:
 * Equals required information

Payment Method
* Credit Card
* Name on Card
* Card Number
* Expiration Date Month (MM) Year (YY)

IMPORTANT: Selecting Purchase Reservations - American French Genealogical Society will process
  this form online separate from the shopping cart and charge it to your credit card.
This allows processing of your Hall of Fame Reservations separate from any order of merchandise you may have placed.

After selecting Purchase this form or charge will not appear in your online AFGS shopping Cart. if your purchasing other AFGS items.

If you prefer not to Purchase on line, you may fill out the form but do not select Purchase, instead
 print the form from your browser and mail it to AFGS with the appropriate funds. 
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Updated 22 October, 2013

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