Ladies' Day Registration

Instructions:

We're glad you're interested in attending Ladies' Day 2017 at Youth Haven! The cost per ticket is $25.00, which includes a continental breakfast and lunch. Are you registering a group of ladies? Get 1 free ticket for each group of 10 ladies registered! 10 tickets = $225, 20 tickets = $450, etc. To request your tickets, please fill out the form below. Once we receive your reservation request from this form you will receive an e-mail confirming your registration.

Once you complete the form below, you will be redirected to PayPal to complete the transaction. You can use a credit/debit card, or a PayPal balance to pay for the tickets securely on their website.

If you have any questions, please don't hesitate to call our office at 517-569-3328 (Michigan) or 520-466-3093 (Arizona). We look forward to having you join us for a great event!

Required Fields (*)

Registration Information
Please register me for the following date:* Thursday, April 27, 2017 (Michigan)
Friday, April 28, 2017 (Michigan)
Saturday, April 29, 2017 (Michigan)
Number of tickets desired:*
Total cost of tickets (Tickets are $25 each with every 10th ticket free. - i.e. 10 tickets = $225):* $
Personal Information
Title:
First Name:*
Last Name:*
Email:*
Verify Email:*
Billing Address 1:*
Billing Address 2:
City:*
State/Province:*
Zip/Postal Code:*
Phone:*
Additional Information
If you are registering a group, please provide first and last names of each woman you are registering:
How did you hear about Ladies' Day?:
Payment Information
Payment Method:*
Type of Card:*
Card Number (no spaces):*
Expiration Date:*
CVV Number:*  what is this?

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