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
(We have lowered the price to make it for affordable for everyone to $25.)
$
25.00
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?
If using childcare at the luncheon, what are your children's ages?
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
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