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Evening with an Artist: Rick Haley
Complete the form below to register for the artist talk.
Name
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First
Last
Address
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Street Address
City
State / Province / Region
Postal / Zip Code
Home Phone
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Cell Phone
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Email
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Are You a BRAC Member?
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Current BRAC Member
Non-Member ($5 non-member fee)
Become a Member ($35 Membership Fee)
Pick Your Event Date:
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EVENT: EVENING WITH AN ARTIST - RICK HALEY (MAY 20)
Payment Information
Gift Card Information
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I have a BRAC gift card
I do not have a BRAC gift card
(Please note: Although you are using a gift card, you will still be redirected to the payment page after clicking "Submit". You can simply close that page when it loads.
Name on Gift Card
Gift Card # & Amount
Credit Card Payment Disclaimer
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I understand that in order to be registered for this class, I must pay online via credit card.
After clicking submit below, you will be redirected to a PayPal payment page and will need to submit payment via credit card on that site. If you do not make payment through PayPal, you will not be registered for this class.
Please click "Submit" only once. It may take a moment to process your registration.
Total
$25.00