Naggansett Rhode island Lions Club


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Dist. 42 Rhode Island Lions

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Our Mailing Address
Narragansett Lions Club PO Box 186 Narragansett RI. 02882

 

2009 Annual Pier Plunge
January 2, 10 am.
North Beach Clubhouse

Credit Card Registration Form

Please Read below Instructions Carefully


1:Your application is not valid unless all fields are completed.
2: You must be at least
18 year old in order to use this form . If you are under 18 click here
3: Once you submit the below form  you will  asked if you would like to register another person if you are registering more than one person select this option.
4:  Once you have finished you will be asked to pay the registration/s fee and be redirected to a secured link that will allow you to use your Master Card or Visa. 
5:On Line Registration Fee , ($20.00 Per registration)
 

Please provide the following contact information: All fields required

How many will you be registering ? 

Last Name on the Credit card you will use ?
Register First Name
Register Last Name
E-mail
T-Shirt Size


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