Tickets will be mailed to this address:

* Name

* Address

* City/Town

* Postal Code

* Phone Number

Fax

* Email

* Number of Tickets

at $95.00 per person

Yes! I would like to receive a tax receipt! (value $45.00)

mail my receipt to above address

mail my receipt to the following address

Name

Address

City/Town

Postal Code

Payment Options

Secure Shopping

We want you to be worry-free, so we use SSL (Secure Socket Layers), the most advanced online ordering security system available. All of your personal information, including your credit card number, is encrypted by SSL. To check the security of your connection, look at the website address, the first characters will change from "http" to "https".

Credit Card Information

Cardholder's Name:

Credit Card Number (no spaces):

Expiry Date:

/

Pay By Cheque

Please mail cheques to:
Lakeside A La Carte
C/O Eric Anderson, Chair
1149 Havendale Blvd.
Burlington, ON L7P 3K6

Would you like us to contact you about Lakeside a la Carte 2011?
Would you like more information about Rotary?

When your ticket order is received, it will be processed quickly. Tickets will be mailed or delivered with credit card receipts.