Kemet Club Open Mic Registration & Order Form

Name*

First NameLast Name

Email*

example@example.com

Phone Number*

Please enter a valid phone number.Format: (000) 000-0000.

YesNo

Name of BAF member who invited you:

YesNo

Name of Guest 1

Name of Guest 3

YesNo

Live at the Kemet ClubOnline via Zoom

yesno

My Products

Appetizer - Nachos with cheese, sliced jalapeño and diced tomatoes

$6.00 Quantity

Appetizer - Jerked Chicken Wings

includes 5 jerked chicken wings

$7.00 Quantity

Double Stuffed Shrimp with Lump Crab - Crowd favorite!

Served with mashed potatoes and roasted vegetables.

$18.00 Quantity

Korean Glass Noodles - (Vegan)

sweet potato glass noodles stir fry with jullienne carrots, portabella mushrooms, scallions.

$12.00 Quantity

Jerked Chicken Dinner

Served with garlic mashed potatoes and roasted vegetables

$12.00 Quantity

Gratuity!

Each quantity equals $2 (ex. Quantity 1 = $2, Quantity 2 = $4, Quantity 3 - $6, Quantity 4 = $8, etc.)

$2.00 Quantity

Enter coupon

Subtotal

$0.00

Tax

$0.00

Total

$0.00

Kemet Club Open Mic RSVP & Pre-Order Form