2019 Annual Meeting and Dinner

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Please make your dinner reservation by May 11.

Hello!

Name *

Email *

Number in party *

Guest Name(s)

Payment:

Please first fill the form below, and then pay online (at: hcmaine.clubs.harvard.edu/store.html?event_id=233) or mail check (to: Harvard Club in Maine, P.O. Box 3472, Portland, Maine 04104).

HCM member (and one guest) ($75 each)

1 ticket = $75

2 tickets = $150

Clear selection

Non-Members ($85 each)

1 ticket = $85

2 tickets = $170

3 tickets = $255

Clear selection

Membership Dues (optional & tax deductible)

$25

Clear selection

Donation (optional & tax deductible)

Total (please add the amounts above and pay online or mail us a check) *

Thanks!

If you have any questions, please email harvardclubinmaine@gmail.com.

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy