Windsor-Essex and CHNIG Fall Tour

Name and Email

First Name *

Last Name *

Email *

Event(s) Fee *

Members - DINNER, 6 p.m. - $30.00

Students - DINNER, 6 p.m. - $20.00

Non-members - DINNER, 6 p.m. - $50.00

CABOT CLUB, 7 p.m. - $0.00

ZOOM, 7 p.m. - $0.00

Total

Credit Card

Card Type

Card Number *

Security Code *

Expiration Date *

Billing Name and Address

Billing First Name *

Billing Middle Name

Billing Last Name *

Street Address *

City *

Country *

State/Province *

Postal Code *

Dietary restrictions/allergies (ONLY if attending DINNER)

Please specify restrictions and name

Dietary Restrictions

I am a vegetarian I have food allergies

Dietary Restrictions Details