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Formstack Submission For: 2024-25 Birthday Announcements - Flames
Submitted at 03/19/25 6:23 PM
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Please select the game date::
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Thursday March 27 vs Dallas
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Thursday March 27 vs Dallas:
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Price: CA$25.00 each
Quantity: 1
Total: CA$25.00
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Please select the announcement type:
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Birthday
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Please input your announcement (50 character maximum):
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0
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Name:
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Philipe Carea
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Section:
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G
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Row:
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12
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Seat Number(s):
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1
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Email:
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rmyers499@tramynguyen.net
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Phone:
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(215) 456-7457
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Address:
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14 Church St
Roselle, NJ 07203
United States
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Are you a CSEC employee?:
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No
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Name on Credit Card:
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Luke Hayland
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Billing Address:
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14 C hurch St
Roselle, Roselle 07203
United States
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Credit Card:
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Card number: ************8273 Expiration: 08/26
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Total:
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25.00
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