December 14th Luncheon Reservation

December 14th Luncheon Registration

Please fill in the form below. Fields with an asterisk are required.
This month we have a special guest speaker, Lieutenant Colonel (US Army, Ret) Allen West. He is the Executive Director of the American Constitutional Conservative Rights Union and the ACRU Action Fund. He is a constitutional conservative, combat veteran, and former member of the US Congress.

Our December luncheon is open YRMF members and their guests, and any member of local Republican clubs. If you do not know a YRMF member or are not a member with a local club, please send an email to LUNCHEON@YRMF.ORG with a request to attend - include your full name, address and phone number and we will follow up with you. If you would like to become a member, complete the membership application found HERE.

Luncheons are held at the The Center located at 1280 E. Rosser St., Prescott, AZ. A map is sent with your reservation confirmation email. Doors open at 10:30 AM. Buffet is served between 10:45 - 11:30 AM. Program runs from 11:30 AM to 1:00 PM.

This month's menu:
- Prime Rib
- Mashed Potatoes & Gravy
- Stuffing & Green Beans
- Cranberry Sauce
- Dinner Rolls & Butter
- Pumpkin & Applie Pie
- Beverages
You will receive a confirmation email if you have completed this registration form completely. If you do not get a confirmation email, please contact us at: LUNCHEON@YRMF.ORG

NOTE: Please ensure you have NOREPLY@JOTFORM.COM in your email Contacts list as your confirmation email comes from this address. Otherwise, your confirmation email may end up in your SPAM or JUNK folders.

Thanks and see you soon!
Number of Reservations
Up to 4 reservations can be made
Attendee 1

First NameLast Name
E-mail 1
Example: myname@provider.com
Phone 1
Example: (928) 555-1234Format: (000) 000-0000.
Membership Status
Click in box and select an option
- Attendee 2
  
  First NameLast Name
- E-mail 2
  Example: myname@provider.com
- Membership Status
  Click in box and select an option
- Attendee 3
  
  First NameLast Name
- E-mail 3
  Example: myname@provider.com
- Membership Status
  Click in box and select an option
- Attendee 4
  
  First NameLast Name
- E-mail 4
  Example: myname@provider.com
- Membership Status
  Click in box and select an option
- YRMF Sponsor or Name of Club
  Type in the Name of the YRMF Sponsor or Club
- Luncheon Payment Conditions
  
  For reservations made on or before December 7th, the cost of the luncheon will be $35.00 per person, payable by cash, check or credit card when you check in at the luncheon. For reservations made after December 7th, the cost of the luncheon will be $40.00 per person, payable by cash, check or credit card when you check in at the luncheon.
  
  Cancellations: Email LUNCHEON@YRMF.ORG on or before December 10th, 10:00 PM, to cancel your reservation. If you do not cancel by this deadline and do not attend, you are still required to pay for your reservation. A notice will be sent to you for payment or you can easily pay by visiting the Member Info page of our website.
- Terms
- SPAM CHECK: To continue, please type the obscured word into the empty cell below it. Thanks.
- Should be Empty:

December 14th Luncheon Registration