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Dio Date Night Registration
Attendee Name
*
First name
Last name
Email address
Phone Number
Parish
What Parish do you usually attend? eg. West Parish, South Parish, etc
Allergies
+ Add another
- Remove
Cost
per couple
per couple
Total amount
$
Payment method
Direct Credit
Make deposit to account
01 1188 0120948 00
Would you like us to send you more information regarding the optional discounted fee for overnight accommodation at the Commadore Hotel?
Please check the highlighted fields
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