GJBSAR Dinner Meeting Registration

GJBSAR Dinner Meeting Registration

Register for the GJB dinner meeting on Oct 15th.
Please register for the upcoming October 15th GJBSAR Meeting and Dinner. Location and time: St. Luke's Union Church, Bloomington, at 6 pm. Dinner menu includes Baked Chicken w/Basmati Rice, Broasted Broccoli, Lemon Bars, Dinner Rolls, and iced tea, lemonade, or coffee. Please fill out the form to reserve your spot for the meeting and make the appropriate payment for the meal provided, credit card (* = required field) or, if you prefer, select option to pay at the door.
Full Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
example@example.com
Number of Guests
Number of Chef salads (optional)?
This count includes you & guests. 0 = none, all eating dinner menu.
Names of Guests
Note: Please separate the guests by commas
Additional Comments
Please note: Payment for members and guests are $17 each. We would appreciate making payment via credit card. However, we will also except payment by cash or check at the door.
Payment Options

Credit Card

Fee for the meeting w/dinner on Oct 15th

$17.00 Quantity

Total