Joint Spouses' Luncheon Registration
Please register by filling out the below form.
Full Name
*
First Name
Last Name
E-mail
*
example@example.com
Phone Number
*
Number of people attending
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Do you have specific questions or topics you'd like for our keynote speaker, Dr. Monica Reintjes, PhD & Licensed Professional Counselor to address?
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Luncheon Registration
$
45.00
Childcare Pass Needed
Please add how many children arriving to event for childcare provided in adjacent room from event.
$
Free
How many children requiring childcare?
$
Free
Quantity
1
2
3
4
5
6
7
8
9
10
Dietary Preferences
Please Select
Vegetarian
Vegan
Nut Free
Which armed service is your spouse?
Do you need to meet with a LSC board member in person to pay in the form of cash or check? Checks should be payable to Langley Spouses Club. If so, write yes and a LSC board member will email you to coordinate a time to meet in person.
Payment Methods
Choose from one of the PayPal options to
make your payment.
Submit
Should be Empty: