Individual Registration

Please login in or enter information in the form below to process registration for event CASA LATINA Essex EASTER BALL - 19th APRIL 2025.
(Note: Automatic discounts will be shown below under Payment)

Ticket Information

Ticket Type	Price	Quantity
Class & Party	£12.00
Party Only	£10.00

Existing user? Please login

New User? Please register

Username (this is your login id and is case sensitive)*

Password*

Retype Password*

Billing Information

First Name *

Last Name *

Address

Address 2

City

Zip

Country

State

Phone

Email *

Is this member Vegetarian? (for dining only) *

Yes

Payment Information

Amount

Payment Processing Fee

Gross Amount

Payment Method *

Bank Transfer - NO FEE

Credit Card Number*

Expiration Date*

Card (CVV) Code*

Card Holder Name*

Credit or debit card*

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