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| ADULT PLAYGROUND 2 PARTY REGISTRATION |
| Please use this form to register for the parties held at Mid Atlantic Social Club! The Adult Playground Club discounted price is $30 per couple plus if you register for a hotel room they will knock off an additional $5....For those of you who need a hotel room please contact the hotel directly at 804-452-0022. Let them know you are with the "Keith and Kay Banquet Group" Even if you are already a member of MAC you must fill out this form on this site to receive any discounts or amenities provided by Adult Playground! |
| First Name (Her) |
| Last Name (His) |
| Last Name (Her) |
| First Name (His) |
| Names wanted on Name Tags |
| Phone Number |
| Primary Email (good one) |
| Other Email |
| Attending Event: |
| (select one) |
| If you are staying overnight please provide us with a confirmation number. |
| Hotel Confirmation # |
| Are you already a member of MAC? |
| Would you like your name tag names (e.g., ~Dave and Mary~) and email address to be included on the guest list on AP2 for others to see? |
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| NOTE: You should receive a confirmation email from AP2 within 48hrs after submission of your RSVP...If you do not please RESUBMIT thanks!!!!! |
| ***If you have any problems please email us directly at dm23875@yahoo.com |
| Thanks for RSVPing hope to see you there!!! |
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