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 or a PayPal account. Please note that all prepayments are non-refundable. We look forward to seeing you at the Breakfast!
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 click on either the "PayPal Checkout" or "Debit or Credit Card" button. Once processed simply click on the "Pay And Submit" button.
Total amount to be charged:

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USDAmount charged will appear as "Republican Club of Lakewood Ranch, Inc."

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Lakewood Ranch Republican Club Prepaid Breakfast RSVP