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Individual Registration

Please enter information in the form below to process registration for event DIVA'S...THE BEST SHOW AT THE BEACH.

Ticket Information

Ticket Type Price Quantity
1 Person $5.00
2 Person Table $10.00
3 Person Table $15.00
4 Person Table $20.00
5 Person Table $25.00
6 Person Table $30.00

Payment Information

Coupon
Amount
$
Discount Amount
$
Gross amount
$
Payment Method
Credit Card
Credit Card Number*
Expiration Date*
/
Card (CVV) Code*
Card Holder Name*

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