Pearl Harbor Commemoration Dinner (Check payment)

Pearl Harbor Commemoration Dinner (Check Payment)

Sunday December 6th - Country Club of Fairfax -$115
Lead Guest

First NameLast Name
Email
example@example.com
What is your naval affiliation,(Active, SWA, NOUS etc)?
Meal Choice
Guest Two

First NameLast Name
Meal Choice
Guest Three

First NameLast Name
Meal Choice
Guest Four

First NameLast Name
Meal Choice
Guest Five

First NameLast Name
Meal Choice
Guest Six

First NameLast Name
Meal Choice
Guest Seven

First NameLast Name
Meal Choice
Guest Eight

First NameLast Name
Meal Choice
Guest Nine

First NameLast Name
Meal Choice
Guest Ten

First NameLast Name
Meal Choice
Does Anybody Have an Allergy? First Name Last Name
Nature of Allergy
Total Number of Guests (including yourself):
$115 each guest
Calculation
Please make out a check payable to the National Commandery NOUS and send it to:

Captain John Rodgaard USN (Ret) 6089 Guildhall Court, Burke, VA 22015

Then submit this form - failure to complete and submit this form will have you on hard tack for the meal
Should be Empty:

Pearl Harbor Commemoration Dinner (Check Payment)