LWRRC Breakfast Sign Up

Lakewood Ranch Republican Club Prepaid Breakfast RSVP

Meets the 2nd Saturday of every month at the Lakewood Ranch Library
Thank you for your interest in attending our next Breakfast. You may use this form to pre-register up to 3 attendees who will be prepaid in advance. We ask that you complete all of the questions below. Secure payments must be made using a Debit/Credit Card. Please note that all prepayments are non-refundable. We look forward to seeing you at the Breakfast!
Breakfast Date
Breakfast_Date
Prepaid Payment
Breakfast Cost
Prepaid Calculation
How many attendees are you paying for today?
First prepaid attendee's First Name
First prepaid attendee's Last Name
First prepaid attendee's Email
example@example.com
First prepaid attendee's Dietary Restrictions
Second prepaid attendee's First Name
Second prepaid attendee's Last Name
Second prepaid attendee's Email
example@example.com
Second prepaid attendee's Dietary Restrictions
Third prepaid attendee's First Name
Third prepaid attendee's Last Name
Third prepaid attendee's Email
example@example.com
Third prepaid attendee's Dietary Restrictions
Please enter your Credit or Debit card information in the fields below then click on the "Click Here To Submit Registration" button. Once submitted you will see a "Thank You" screen and will receive confirmation from us.
Amount To Be Paid

prevnext( X )
USDThis amount will be charged to your Credit/Debit card.

Lakewood Ranch Republican Club Prepaid Breakfast RSVP