MARCH 13TH PATRONS BALL

Fort Harrison Hotel, Clearwater

  • Personal
    Information
  • Contact
    Information
  • Payment

Personal Information:

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Contact Information:

Data protection/privacy: The data you provide on this form will be held in a secure database of IAS Administrations in Los Angeles. The data will be used for IAS membership administration purposes and to keep you informed of activities, offers and services of the Church of Scientology, and to send you membership-related mailings. By filling out and signing this form, you agree to the transfer of the data to IAS Administrations in the USA and to the passing of any of these data to those entities belonging to the Church of Scientology, who are commissioned to perform the request for information about Scientology on behalf of IASA, for the above purposes. IAS Administrations and those churches commissioned as above, fully respect your privacy. Your information is never disclosed to anyone outside IAS Administrations and the worldwide Church and its associated entities. You can verify your membership data held by IAS Administrations, or ask us to stop sending you mailings at any time simply by writing to us.

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Billing Contact:

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I understand that I am making a payment for ticket(s) to an event sponsored by IAS Administrations. I understand that payments for tickets are not tax-deductible and non-refundable.

Data protection/privacy: The data you provide on this form will be held in a secure database of IAS Administrations in Los Angeles. The data will be used for IAS membership administration purposes and to keep you informed of activities, offers and services of the Church of Scientology, and to send you membership-related mailings. By filling out and signing this form, you agree to the transfer of the data to IAS Administrations in the USA and to the passing of any of these data to those entities belonging to the Church of Scientology, who are commissioned to perform the request for information about Scientology on behalf of IASA, for the above purposes. IAS Administrations and those churches commissioned as above, fully respect your privacy. Your information is never disclosed to anyone outside IAS Administrations and the worldwide Church and its associated entities. You can verify your membership data held by IAS Administrations, or ask us to stop sending you mailings at any time simply by writing to us.

Thank you

Your ticket payment has been relayed and will be processed rapidly.

You will be notified by mail of its acceptance.

For any questions or further information, please write to:

IAS Administrations, Inc.
4751 Fountain Ave.
Los Angeles, CA 90029 USA

March 2020
IAS Honor Status Ball
Fort Harrison Hotel, Clearwater

Purchase your ticket and reserve your seat today.

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