Dinner, Art & Wine for Canines

Saturday, March 11, 2017

6-10 PM



Receptions Loveland, 10681 Loveland-Madeira Rd., Loveland, OH 45140

Become a Sponsor, here is Sponsor Information

Dinner Reservation:

The following fields are required. Please use "none" or "NA" for not applicable as appropriate.

Name:
Street Address:
City, State & Zip:
Phone:
Email:
Date:
Number of Persons: $55 individual ticket ($65 in March) + fee if PayPal
$50 each for multiple tickets ($60 in March) + fee if PayPal
How to pay:

You can pay thru PayPal or send us a check. When you submit this form you will see a Thank You page that has a PayPal button for dinner tickets. Or you may send us a check. Please tell us:

Will use PayPal
Sending Check

Once you have completed all required fields ("None" or "NA" can be used.) and clicked the submit button, you will see a Thank You page. If you have not completed all required fields, you will be asked to complete the missing fields before the form can be submitted and you see the Thank You page.

Input text from image bellow:



You can submit the online form and mail your payment (without the PayPal fee) to Circle Tail Inc. Our Tax ID is 31-1516490.

Circle Tail Inc.
8834 Carey Lane
Pleasant Plain, OH 45162