Ghost Walk Reservation

12th ANNUAL SAN JUAN BAUTISTA GHOST WALK

Please complete & submit (below)

* Indicates required field

Date of Submittal *

Name *

First

Last

Email *

Contact Phone # *

Mailing Address *

City *

State *

Zip Code *

Choose One *

Friday, October 25th Saturday, October 26th

Number of Reservations Requested *

Payment *

I will send a check ($35 X number of reservations) to Rotary Club of San Juan Bautista, P.O. Box 823, San Juan Bautista, CA 95045 I will pay by VISA I will pay by Mastercard

Please complete if paying with credit card.

Name as it appears on Card *

Credit Card Number *

Expiration Date *

Card Verification Value Code (CVV): (3-digit # on back of card) *

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