Dennis Swanberg Lunch Registration

Senior Adult Lunch with Special Guest Dennis Swanberg AUGUST 25, 2026 at 11:30am

A 3% surcharge is added to all credit card transactions.
Advanced Registration Required by August 18th.
**NOTE**: If you are registering a group or need alternate payment please register by contacting Cary Coker at ccoker@scottdawson.org instead of completing this form.
LOCATION: SDEA Evangelism Center - Purvis Chapel

210 Wildwood Parkway Birmingham, AL 35209
Name

First NameLast Name
Additional Guest Name (if applicable)

Additional Guest First NameAdditional Guest Last Name
Email
example@example.com
Phone #
Please enter a valid phone number.Format: (000) 000-0000.
Church Name
Your Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Lunch

Per Person

$15.00 People

Subtotal

Tax

Total

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

If you have any questions, feel free to contact our office at 205-833-9163 or email Cary Coker at ccoker@scottdawson.org
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Senior Adult Lunch with Special Guest Dennis Swanberg AUGUST 25, 2026 at 11:30am