Women's Christmas Luncheon

-- REGISTRATION --

Name

First NameLast Name

E-mail

example@example.com

Phone

Format: (000) 000-0000.

How many people are you registering (including yourself)?

Please list the names of any additional women you are registering:

We will automatically aim to seat you together.

Please list the names of anyone else you would specifically like to sit with:

We can't promise to fulfill all requests, but we will make every effort to seat you at the same table.

Please list any special dietary needs of anyone in your party:

Comments/Questions:

REGISTRATION: Please choose ONE below. (Payment must be submitted with this form.)

Total Due $

USDWomen's Christmas Luncheon

You have chosen to pay by check. Please follow these instructions:

Checks should be made payable to Ebenezer BFC, Memo: Women's Christmas Luncheon.
Please put in the office drop box, or mail to the church: 3100 Hecktown Rd. Bethlehem PA 18020.
Checks must be received within 10 days of your registration, or your reservation will be forfeited.