Thank you for choosing our online dinner reservation.  Please fill out the form below and click submit.  We look forward to seeing you on Friday May 23rd 2008, 6:00 PM at the Haliburton Curling Club.  Click here for map to Curling Club.

	Title:
*	First Name:
*	Last Name:
*	Address:
*	City:
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*	Zip/Postal Code:
	Email:
	Phone:
*	How many attending?	12345678
	Please list names and addresses of invited guests.
	Please send me e-news and event information from Youth Unlimited Haliburton Highlands.	yes no
	Do you or anyone in your group have any special diet requests?
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