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November Spotlight: Lincoln Street Event Center, Chelcy AuBuchon, 112 N. Lincoln Street, Desloge, MO 63601 / Phone: 573.820.1838
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Registration • Make a Payment
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Chris Sisk
2021-11-19T16:16:55-06:00
Name
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First
Last
Business Name
Email
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Phone
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What are you purchasing today?
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Luncheon
Jingle Bell Run
General Payment
Number of Lunches?
(Required)
Price:
$10.00
Quantity:
Number of runners 13+
(Age on race day. Includes a t-shirt.)
Price:
$20.00
Quantity:
Number of runners 12 and Under
(Age on race day. Does not include t-shirt.)
Price:
$0.00
Quantity:
Additional T-Shirts?
Price:
$10.00
Quantity:
Please list total number of shirts for each size.
(Required)
Small
Medium
Large
X-Large
XX-Large
XXX-Large
the number of shirts should equal the number of 13+ runners PLUS any additional t-shirts.
Payment Amount
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Payment Description
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Total
$0.00
Credit Card
Card Details
Cardholder Name
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