Tea Registration

No Reservations will be accepted after midnight, July 27. Please read the information page before completing this form. Thank you for filling out the form below. You will receive a confirmation notice within 24 hours. IF YOU DO NOT receive confirmation in 24 hours please check with Linda at:  jayjaysnana@q.com. The fields marked with (*) are required fields. * Full Name  * required * Address  * required * City  * required * State  * required * Zip Postal Code  * required * Telephone Number  * required * Email Address  * required * Number in party    Number of Adults:    Number of Seniors: * Reservation Time Requested 10:45AM 12:00PM 1:15PM 2:30PM   Seating Times: 10:45am 12:00am 1:15pm 2:30pm Prices: Adults: $8.00 Seniors (60+) $7.00 Pay Now:  (click pay button below) Pay Later:

Number 1 person $8.00 1 person senior $7.00 2 persons $16.00 2 persons senior $14.00 3 persons $24.00 3 persons senior $21.00 4 persons $32.00 4 persons senior $28.00

Number

1 person $8.00 1 person senior $7.00 2 persons $16.00 2 persons senior $14.00 3 persons $24.00 3 persons senior $21.00 4 persons $32.00 4 persons senior $28.00