Valentine Banquet Registration 2026
Friday, February 14 at 5:30pm Central
Name
*
First Name
Last Name
Email
*
example@example.com
Seating
What group or friends would you like to sit with?
Debit or Credit Card Method
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Sirloin Steak
w/ baked potato
$
37.00
Quantity
1
2
3
4
5
6
7
8
9
10
Chicken Cordon Bleu
w/ wild rice pilaf
$
37.00
Quantity
1
2
3
4
5
6
7
8
9
10
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
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