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January
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Children's Wish
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Name
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Address
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Booth Name
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Home Phone
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Please select the option that applies:
Booth Only – # of booths requested (Before Dec 1) x$85.00 ea.
Booth Only – # of booths requested (After Dec 1) x$95.00 ea.
Booth + Table # of booths requested -1 table ea. (Before Dec 1) x $95.00
Booth + Table # of booths requested -1 table ea. (After Dec 1) x $105.00
Method of Payment – Payment must be received before space is confirmed.
*
Cheque - Brenda Nason 590 Rte 636, Harvey, New Brunswick, E6K 3A2
Cash - North Stream Tack 132 Charters Settlement Road, New Maryland
Interact e-transfer - nsfts@nb.aibn.com Please use January as answer to security question
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