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NextGen Under30 Kansas Reservation Payments
Payment processing is via PayPal or credit card please contact us to make other arrangements)
Name of Honoree
*
First
Last
Person making payment
First
Last
Contact Phone number
*
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Contact Email
Pay for Reservations(s), $100 each.
Please Select
1 guest reservation
2 guests reservation
3 guests reservation
4 guests reservation
5 guests reservation
6 guests reservation
7 guests reservation
8 guests reservation
Please select quantity
Unique ID
