Member Appreciation Dinner
October 23rd - 5:00 PM - Kegan's Restaurant
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Meal Choices:
Member Selection ($10)
*
Grilled Flatiron Steak
BBQ Baby Back Ribs
Chipotle Black Bean Vegan Bowl
Non-Member or Guest Selection ($20)
Grilled Flatiron Steak
BBQ Baby Back Ribs
Chipotle Black Bean Vegan Bowl
Payment Form
prev
next
( X )
Member Meal
$
10.00
Quantity
1
2
3
4
5
6
7
8
9
10
Non-Member or Guest Meal
$
20.00
Quantity
1
2
3
4
5
6
7
8
9
10
Credit Card
Additional Comments or Notes
Submit
Should be Empty: