QCWBA Book Club, August 17, 2023 Please enable JavaScript in your browser to complete this form.Name *FirstLastFirm *Email *Are you currently a member of QCWBA? *YesNoMember TicketsNumber of member tickets1 – $0.002 – $0.003 – $0.004 – $0.005 – $0.006 – $0.00Non-Member TicketsNumber of non-member tickets1 – $25.002 – $50.003 – $75.004 – $100.005 – $125.006 – $150.00Enter the names of attendee(s) below:Attendee 1 *Attendee 2 *Attendee 3 *Attendee 4 *Attendee 5 *Attendee 6 *Total Payment *$0.00PaymentStripe Credit Card *CardName on CardSubmit
