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YE-Newport, RI - DoYourOwnThing June 19, 2024
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Credit Card Registration Form ONLY...if you are paying by check do NOT use this registration form
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NEWPORT, RI - DYOT
June 19, 2024
$40.00 Per Person
Pick up is at 7:30 AM at the A&R Union Office Parking lot, located in the I-91 Tech Center, 805 Brook Street Rocky Hill, CT 06067.The Bus will leave Newport at 5:30PM
Name of A&R Employee
Home e-mail
Cell Phone #
Number of Tickets To Be Purchased
Total Cost For All Tickets at $40/ticket
Type of Credit Card
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Visa
MasterCard
AmEx
Discover
By checking this box, I am agreeing to allow A&R to process payment from my listed card for tickets to this event. The charge may appear on your bill as "Am. Fed of Teachers" rather than A&R.
Name on the Credit Card
Full Address Associated with the Credit Card
City associated with the Credit Card
State
ZIP Code associated with the Credit Card
Credit Card Number
Card Expiration Date - Use Format (MM/YY)
3 or 4 Digit Credit Card Security Code
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