Wild Rover - Toronto Nightclub Events and Entertainment

SECURE ONLINE PURCHASE FORM

Purchase tickets to Wild Rover events quickly and securely using our online credit card order form. We currently accept American Express, MasterCard and Visa. Your information is submitted securely using 128-bit SSL encryption and is never shared with any 3rd parties.

CREDIT CARD PURCHASE
Wild Rover's CHARITY WING DING
Thursday, February 25, 2010

*Full Name
(as it appears on your card)

*Address

*City

*Province

*Postal Code (A1A 1A1)

*E-Mail Address:

*Phone Number:
(999-999-9999)

Referred By:

Purchase Details

*Quantity requested

@ $20 (Advance Price)

Credit Card Info

*Type of Card

Visa Amex MasterCard

*Card Number

*Exp Date (MM/YY)

TERMS & CONDITIONS

All sales are final. Wild Rover does not offer refunds or exchanges.
Tickets will NOT be mailed to guests. Once your purchase is validated, your name will be placed on our guest list, and tickets will be issued at the meeting spot. Your credit card and a valid piece of photo ID are required!!!
This event is restricted to persons 19 years of age or older. Proper ID must be shown upon request.
Drink responsibly! Do not drink and drive.
The ticket holder releases Wild Rover Promotions and it's partners, sponsors, agents or affiliates from any loss, damage or injury caused either directly or indirectly as a result of this event. The ticket holder assumes full responsibility for his/her actions and any costs which may be incurred as a result thereof.

AGREEMENT:

By clicking SUBMIT, you the undersigned, hereby acknowledge and agree to the Terms & Conditions and agree to pay Wild Rover Promotions in the amount as indicated above.

I, *(full name) have read, understood and agree to the terms and conditions as mentioned above.

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