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Lima_Fall Festival Registration

Thursday, Oct. 6th. | 6PM-8:30PM | Black Bird Farm in Columbus Grove

Contact Information

Name

First Name

Last Name

Verify Email

Address

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Registration Amount \| All Food & Drinks Are Included In Your Registration *	Quantity
$30 - Individual Registration

Please list the names of the attendees within this registration (if applicable)

PLEASE NOTE:

The next page will direct you to a PayPal payment service. You do not need to use a PayPal card or have a PayPal account. You may use any debit/credit card you would like.

Add 3% to my total amount to help cover the payment processing fees