Swing Dance Party Admission Form

Sunday, September 24th 2017

6pm to 9pm

Thank you for choosing Le Colonial for your entertainment destination! Please fill out the following. Note that Pre-sale tickets will not be mailed. Tickets and your name will be available at the door on the date of the event.All tickets sales are final.

We respect your privacy, Information your provided are secure and confidential


Name: *
Name:
Phone No: *
Phone No:
$10 per person
$
CC Info
Name on the Card *
Name on the Card
CC Types *
Ex08.2017
Please provide a valid Credit Card no if not your request will not be processes
Acknowledge
By submitting this form I acknowledge Le Colonial Restaurant's reservation policy and allow Le Colonial Restaurant to deduct $10 Pre-Sale Ticket per person. All Sales are final. No refund.
*