2016 HOD Hair Show

Participant Contact Information

Name

Phone Number

Address

I would like a vegetarian meal.

Registration Fee* ($70.00)

$10 for each raffle ticket. Or 3 tickets for $20.

Raffle Tickets

($10.00/ea.)

Discount Raffle Tickets (3 for $20)

($20.00/ea.)

Total

$70.00

Would you like to cover the 3% processing fee?

Name

Credit Card

Address

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