Dinner Ticket Purchase Form Annual Dinner Ticket Purchase Name* First Last Email* Phone*Member Firm or Organization*How many tickets would you like to purchase?*Click to Select1 Tickets ($140)2 Tickets ($280)3 Tickets ($420)4 Tickets ($560)5 Tickets ($700)6 Tickets ($840)7 Tickets ($980)Full Table – 8 Tickets ($1080)Please enter the full name of each guest who will be attending the event:Guest 1 First Last Guest 2 First Last Guest 3 First Last Guest 4 First Last Guest 5 First Last Guest 6 First Last Guest 7 First Last Guest 8 First Last Are there any allergies or food preferences we should be aware of? If so, please note the name of the guest and the associated allergy/preference.Total $ 0.00 CAD Credit Card* American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20242025202620272028202920302031203220332034203520362037203820392040204120422043 Expiration Date Security Code Cardholder Name PhoneThis field is for validation purposes and should be left unchanged.