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JGELC Annual Family Dinner November 15, 2019
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Your Last Name
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Your First Name
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Email Address
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How many adults will be in your party?
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How many children ages 3-12 will be in your party?
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How many children age 2 or under will be in your party?
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Please list the names of all attending in your party.
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Food allergies or dietary restrictions that we should be aware of.
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How would you like to pay for the dinner?
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I will pay by cash or check
I will pay by credit card (please contact the office 508-650-3521 x100)
I will pay by Paypal (go to this link:
https://goo.gl/mX7F6K
and write "11/15 Dinner" in the Memo)
Total Payment:
Adults & Teens = $18
Children 3-12 = $5
Children 2 and under are free
Last date to make a reservation: Friday, November 8
This will allow us to plan for sufficient food for all.
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