Ilios Soirée

Sunday, October 15th, 2023
Estiatorio Milos

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Date

Name*

First Last

Phone*

Email*

Name on Tax Receipt

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Souvenir Book Options

Souvenir Book

Full gold page

Full silver page

Full black/white page

Gold name listing

Children Helping Children (per child name)

Message (please specify)

Greeting / In Loving Memory / Gold Name Listing / Child’s Name

If sending message, please email .pdf or .jpg in hi-resolution

Accepted file types: jpg, pdf, Max. file size: 2 MB.

Monetary Donation

I am unable to attend but would like to make a donation of...

Total

Payment Method

If tickets are reserved and payment has not been received prior to the event date, guests will be expected to honour their commitment nonetheless.

Credit Card

E-transfer (please email to ilios.hlbs@gmail.com)

Methods of Payment

If tickets are reserved and payment has not been received prior to the event date, guests will be expected to honour their commitment nonetheless.

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name