Annual Fundraising Dinner Registration
Thursday, November 3, 2022 | 6:30pm | The Vineyards at Chappel Lodge
This event is free to attend and tickets are not required to be shown at the door. This registration is for our guest counts.
Number of Tickets
*
(Including you) NOTE: You will need to provide information for each guest you register for. Or you can send them this form so they can register themselves.
Your Name
*
First Name
Last Name
Your Email
*
example@example.com
Your Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Mailing Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Are you a table host?
*
Yes
No
Who is your table host?
*
Please write "NA" if you don't have one
Please choose your entree
*
Roasted Pork Loin (gf)
Lemon Sage Chicken (gf)
Name of Guest
*
First Name
Last Name
Guest's Email
Please share this with us so we can communicate information about this event and all updates with your guest directly
Please choose your guest's entree
*
Roasted Pork Loin (gf)
Lemon Sage Chicken (gf)
Name of Guest
*
First Name
Last Name
Guest's Email
Please share this with us so we can communicate information about this event and all updates with your guest directly
Please choose your guest's entree
*
Roasted Pork Loin (gf)
Lemon Sage Chicken (gf)
Name of Guest
*
First Name
Last Name
Guest's Email
Please share this with us so we can communicate information about this event and all updates with your guest directly
Please choose your guest's entree
*
Roasted Pork Loin (gf)
Lemon Sage Chicken (gf)
Name of Guest
*
First Name
Last Name
Guest's Email
Please share this with us so we can communicate information about this event and all updates with your guest directly
Please choose your guest's entree
*
Roasted Pork Loin (gf)
Lemon Sage Chicken (gf)
Name of Guest
*
First Name
Last Name
Guest's Email
Please share this with us so we can communicate information about this event and all updates with your guest directly
Please choose your guest's entree
*
Roasted Pork Loin (gf)
Lemon Sage Chicken (gf)
Name of Guest
*
First Name
Last Name
Guest's Email
Please share this with us so we can communicate information about this event and all updates with your guest directly
Please choose your guest's entree
*
Roasted Pork Loin (gf)
Lemon Sage Chicken (gf)
Name of Guest
*
First Name
Last Name
Guest's Email
Please share this with us so we can communicate information about this event and all updates with your guest directly
Please choose your guest's entree
*
Roasted Pork Loin (gf)
Lemon Sage Chicken (gf)
Name of Guest
*
First Name
Last Name
Guest's Email
Please share this with us so we can communicate information about this event and all updates with your guest directly
Please choose your guest's entree
*
Roasted Pork Loin (gf)
Lemon Sage Chicken (gf)
Name of Guest
*
First Name
Last Name
Guest's Email
Please share this with us so we can communicate information about this event and all updates with your guest directly
Please choose your guest's entree
*
Roasted Pork Loin (gf)
Lemon Sage Chicken (gf)
Notes to the TWOPU team
Submit
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