2019 Christmas Banquet Registration

12/8/2019 @ 5:00 pm | Please fill out this form and click submit. Form must be submitted by Dec. 1st for catering needs.

Name

*

Email

*

This address will receive a confirmation email

Phone

*

Attendees

Please check the boxes of the number of people that are planning to attend the Christmas Banquet with you. Children 11yrs. old and under are free, but still need to have a check mark to make sure they have a seat.

Number of Adults

*

Please select all that apply.

1 2 3 4 5 6

Number of Children (Ages 0-11)

*

Please select all that apply.

1 2 3 4 5 6

Please add up the number of Adults you have in your party and enter the total amount in the section below. Example: 2 adults @ $20ea = $40 total amount owed.

Payment

1 Adult ($20) 2 Adults ($40) 3 Adults ($60) 4 Adults ($80) 5 Adults ($100) 6 Adults ($120)

Amount

Credit/Debit Card Number

Expiration Date/CVC

Name on Card

Card Billing Address

Description

12/8/2019 @ 5:00 pm

Please fill out this form and click submit. Form must be submitted by Dec. 1st for catering needs.

Please Fix the Following

Close