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You have reached the WIL secure payments page for EVENTS REGISTRATION. Complete the form below to submit your payment.Your receipt will be sent to the email address you provide. STARRED ITEMS (*) ARE REQUIRED FOR REPORTING TO THE STATE OF CALIFORNIA.


WIL LUNCHEON/SPECIAL EVENT REGISTRATION FORM
Please complete one form to pay for up to 5 attendees.

Date/Description*:
First Name*:
Last Name*:
YOU MUST USE YOUR CREDIT CARD BILLING ADDRESS.
Address*:
City*:
State*:
ZIP*:
Occupation*:
Employer*:
Home Phone:
Email*:
Vegetarian Option:
Level*: Members, please use the down arrow on the right to select your membership level, which determines your charge for the lunch.

ABOUT MY GUESTS:
Guest 2*:
Guest 3*:
Guest 4*:
Guest 5*:

If amount due, enter credit card and expiration date below:
Credit Card Number: (No spaces/dashes) Visa/MC/AMEX accepted.

Expiration Date:
(MMYY) NO dashes or slashes. For example "0916" for September, 2016.


Upon submission, your card will be charged if any amount is due. Your name will be added to the RSVP list, and if a charge was required, a receipt will be sent via email to the address you provided on this form. By clicking the button below, you confirm reading these instructions.



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