HDSA June Luncheon 2026 - Guest Registration Form

HDSA June Luncheon 2026 - Guest Registration Form

HDSA Member Appreciation Luncheon

Guest Registration Form
Join us for the HDSA Member Appreciation Luncheon
featuring Guest Speaker Sergeant Dustin Nelson - RESPECT Program

June 29, 2026
Rancho Bernardo Inn

FREE for Members
$50 for Guests, Emeritus, and Associates
Select Member & Guest Tickets below.
Please check the boxes and quantities below to see total cost.
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HDSA Member Tickets
Free Quantity

Guest(s) Tickets
Please enter number of guests

$50.00 Quantity

Total

$0.00
HDSA Member Name

First NameLast Name
Member Badge #
Member Phone Number
Please enter a valid phone number.Format: 000-000-0000.
Member Email
example@example.com
How Many Guests Are You Bringing?
Add-on Guest 1 (NON-HDSA MEMBER)

First NameLast Name
Add-on Guest 2 (NON-HDSA MEMBER)

First NameLast Name
Add-on Guest 3 (NON-HDSA MEMBER)

First NameLast Name
Add-on Guest 4 (NON-HDSA MEMBER)

First NameLast Name
Add-on Guest 5 (NON-HDSA MEMBER)

First NameLast Name
Please select # of chicken entrées for you and your guests
Please select # of fish entrées for you and your guests
Billing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Payment Methods

Debit or Credit Card

Choose from one of the PayPal options to make your payment.

Should be Empty: