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Copy of OurGen

Join OurGen (CNT Members in their 40's, 50's, 60's and not quite ready to be called a senior) for a private tour and mixer at the historic Las Vegas Country Club. Sunday, November 10 at 1 PM

* Name

* Phone Number

Lunch per person

Account Details

Enter your name and e-mail address for your confirmation:

*E-mail

*First Name

*Last Name

Payment Information

Account

Credit Card

Name on Card

Card Type

Card Number

Expiration Date

Card Verification Number

Address Line 1

City

State/Province

Zip

Comments

Increase the amount by 3% to cover credit card fees. Please select YES to increase your payment.

Total:

Copy of OurGen

Account Details

Enter your name and e-mail address for your confirmation:

Payment Information

Credit Card

Checking Account

For added Security please check the box below.

Copy of OurGen

Account Details

Enter your name and e-mail address for your confirmation:

Payment Information

Credit Card

Checking Account

For added Security please check the box below.

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