North County Uncorked Registration Form

Please use the form below to submit your RSVP:

    RESERVATION FORM
    NAME*:

    EMAIL*:

    PHONE:

    ADDRESS:

    CITY:

    STATE:

    ZIP:


    Want to help bring this celebration to life? To contribute, you can:

    • Purchase a ticket or table
    • Donate an auction item
    • Donate a raffle item

    TICKETS:

    Please indicate below if you would like to make a donation
    toward supporting this event and the work NCI does:
    DONATION AMT:

     

    Would you like to donate an auction item?


    PLEASE LIST ATTENDEES BELOW:
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    Comments:


    Our menu for the evening is set, however every effort will be made to accommodate your dietary needs. Please indicate any dietary requests (vegan, vegetarian, food allergies, etc.) in your party below. Leave blank if you do not have any requests.



    Cancellation/Refund Policy: Events cancellation policy: cancellation of attendance at an event must be received in writing to nci@northcountyinc.com two weeks prior to the event date in order to receive a full or partial refund for the cost of the seats/participants at the event. No refunds available on sponsorship portion of packages.

    NCI_LogoFooter

     

    North County Incorporated

    8225 Florissant Rd., Suite 11
    St. Louis, MO 63121
    phone: (314) 895-6241
    email: nci@northcountyinc.com

     

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