Register For Meeting

Please submit no later than Sunday 5 p.m. prior to meeting.

First Name:*

Last Name:*

Email:*

Phone Number:*

Number Attending:

Dinner (includes presentation):
Presentation Only:

Meeting Date (leave blank for next meeting):

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Dinner and Presentation
Members . . . . . . . . . . . . .$20.00 (each)
Students (under 21). . . . . $7.00 (each)
Guests & Others . . . . . . . $25.00 (each)
Members who do not make an advance dinner reservation will be charged $25.00
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Presentation ONLY
Members/Students . . . . . $ 5.00 (each)
Guests & Others . . . . . . . $10.00 (each)
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NOTE: We accept all major credit/debit cards, cash, and checks at our meetings.
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Check only one box below:
New ReservationChange in ReservationRESUBMITCancel My Reservation

NOTE: if you are cancelling a reservation, we need to know the names, how many for dinner & meeting, or just meeting, what meeting. Please fill in all of the other boxes so we can find and confirm - THANK YOU

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Additional Information you would like to share with us about the dinner including special dietary requests.

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You can list the names of anyone who will be attending. This is not required to make a reservation.

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How did you hear about us? MemberFriendOur WebsiteBrochureFlyerBroadcast MediaOther

If you selected "Broadcast Media" or "Other" please tell us more:

Check only when completed:* Yes