Saturday Lunch Reservation Form

Lunch on Saturday, November 9:

When: 12:00 noon to 1:15 PM

Where: Faith Fellowship Church hall to the left of the sanctuary (OMC and new and returning Board members eat together in designated rooms for reorganization. Meals will be delivered.)

Cost: $15.00 per person (no refunds after registration deadline)

Provider: Old Oak Café, Moneta

Menu:

Option (A): Turkey Caesar wrap, macaroni salad, chips, cookie, drink

Option (B): Ham and Cheddar wrap, macaroni salad, chips, cookie, drink

Option (C): Veggie Wrap, macaroni salad, chips, cookie, drink

Meal Tickets will be distributed on Friday evening and Saturday morning at registration. No extra meals will be sold on-site at District Conference.

Registration Deadline: October 21.

To Register:

1. Complete the Meal Registration Form below.

2. Mail payment (made payable to Virlina District) by October 21 to:

Virlina District Resource Center, 3402 Plantation Road NE, Roanoke, VA 24012

Email for responses*

example@example.com

Number of people you are ordering for:

Person 1

First NameLast Name

Choice of meal (Person 1)

Option A - Turkey Caesar wrapOption B - Ham and Cheddar wrapOption C - Veggie wrap

Check if you have a gluten allergy (1)

I have a gluten allergy

Person 2

First NameLast Name

Choice of meal (Person 2)

Option A - Turkey Caesar wrapOption B - Ham and Cheddar wrapOption C - Veggie wrap

Check if you have a gluten allergy (2)

I have a gluten allergy

Person 3

First NameLast Name

Choice of meal (Person 3)

Option A - Turkey Caesar wrapOption B - Ham and Cheddar wrapOption C - Veggie wrap

Check if you have a gluten allergy (3)

I have a gluten allergy

Person 4

First NameLast Name

Choice of meal (Person 4)

Option A - Turkey Caesar wrapOption B - Ham and Cheddar wrapOption C - Veggie wrap

Check if you have a gluten allergy (4)

I have a gluten allergy

Person 5

First NameLast Name

Choice of meal (Person 5)

Option A - Turkey Caesar wrapOption B - Ham and Cheddar wrapOption C - Veggie wrap

Check if you have a gluten allergy (5)

I have a gluten allergy

Person 6

First NameLast Name

Choice of meal (Person 6)

Option A - Turkey Caesar wrapOption B - Ham and Cheddar wrapOption C - Veggie wrap

Check if you have a gluten allergy (6)

I have a gluten allergy

Person 7

First NameLast Name

Choice of meal (Person 7)

Option A - Turkey Caesar wrapOption B - Ham and Cheddar wrap,Option C - Veggie wrap

Check if you have a gluten allergy (7)

I have a gluten allergy

Person 8

First NameLast Name

Choice of meal (Person 8)

Option A - Turkey Caesar wrapOption B - Ham and Cheddar wrapOption C - Veggie wrap

Check if you have a gluten allergy (8)

I have a gluten allergy

Total amount to submit

How will you submit your payment?*

I will bring my payment to conference (Cash or check ONLY)I will mail my payment