Love is Blind Reservation Form

 
Please complete this form to make your reservation for UFB's LOVE IS BLIND event on Friday February 10, 2012. Payment of $50 per ticket will be made on the next page. Confirmation will be mailed to the address you provide. Reservations may also be made by calling 801-209-8492.
 
 
First Name
 
Last Name
 
Company (Optional)
 
Phone Number
 
Mailing Address
 
City
 
State
 
Zip
 
Email
 
Number of Tickets
  @ $50 per ticket
 
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