Request edit access
JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Registration for City Lights, November 7th 2025
Thank you for joining us for the City Lights Holiday Wine Pairing Dinner! Please fill out the registration form below and mail a check to EFAC, PO Box #194, Waukee, IA 50263 or Venmo your payment to @EFACDSM.
Looking forward to seeing you!
Monni
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Name
*
Your answer
Address
*
Your answer
Phone number
*
Your answer
What kind of ticket are you registering for?
*
VIP Table of 10 ensuring you are sitting with your people - $2500
Individual ticket(s) - $250 each
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report