YRMF Luncheon Reservation Form

July 11th Luncheon Registration

Please fill in the form below. Fields with an asterisk are required.
Luncheons are for YRMF Members, Candidates and Guest Speakers Only. If you would like to become a member, fill out and send in a membership application found HERE, or bring it to the luncheon.

Luncheons are held at the Prescott Vibes Event Center. A map is sent with your reservation confirmation email.

The buffet menu for this month is: Pulled Pork Sandwiches, Cole Slaw, Beans, Dessert

You will receive a confirmation email if you have completed this registration form completely. If you do not get a confirmation email, please contact us at: YRMF2020@GMAIL.COM.

NOTE: Please ensure you have NOREPLY@JOTFORM.COM in your email Contacts list as your confirmation email comes from this address. Otherwise, your confirmation email may end up in your SPAM or JUNK folders.

Thanks and see you soon!
Number of Reservations *
Up to 4 reservations can be made
Attendee 1 *

First Name Last Name
E-mail 1 *
Example: myname@provider.com
Phone 1 *
Example: (928) 555-1234
Membership Status *
Click in box and select an option

Luncheon Payment Conditions

Payment is $25.00 for each reservation, payable at the door. Cash or check only - no credit cards.

Remember, a reservation made is a reservation paid. If you do not attend and fail to cancel before the cutoff date, please send payment to:

YRMF

1042 Willow Creek Rd, STE A101, #226

Prescott, AZ 86301
Total Payment Due at Luncheon
Terms *

Agree to Above Conditions
SPAM CHECK: Please type the obscured word into the empty cell below it. Thanks. *
Should be Empty:

July 11th Luncheon Registration