Penn State Jax 2026 Banquet

1

Your Name* This field is required.

First Name

Last Name

2

Your Address* This field is required.

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

3

Your Phone Number* This field is required.

Area Code

Phone Number

4

Your Email* This field is required.

example@example.com

6

Attendees Meal Selection* This field is required.Click the "+" sign in the lower left to add additional attendees and meal selections. If you have special dietary needs, please select that option and you will be able to input that detail in the next field.

7

Special Dietary NeedsSkip if this does not apply to you. Enter your dietary needs and the meal you would like the chef to adjust accordingly

For example: Gluten Free/Dairy Free/Vegan for my chicken/salmon/beef entree

8

Total Amount Due$80 per person

9

What Payment Method do you prefer?Payment can be made by check or Venmo. Venmo Address: @PSUJax (If a last 4 digit phone number verification is requested by Venmo, enter 3929) PLEASE DO NOT MARK THIS AS "GOODS OR SERVICES" ON YOUR VENMO TRANSACTION!! We are a non-profit and this will trigger additional fees that should NOT be applied. Checks should be made out to PSU Jax Alumni Chapter. Check payments for the total amount due should be received by March 18, 2026 and mailed to: David Gnage - Treasurer 11576 Summer Haven Blvd N Jacksonville, FL 32258

Check

Venmo