December Sampai Lunch - RSVP by 12/12/25 Please

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

This form is for our post Samapi community lunch.

Due to staffing shortages and food costs we need to know if you are attending on Sunday 12/14/2025 after Sampai for lunch, so we can prepare.

Lunch is tasty, healthy and includes Natural Agriculture and Organic ingredients.

There is a $5 suggested donation.

Email *

Do you have any food allergies? If so please list below.

I would love lunch for a $5 donation at SII following monthly Sampai. *

Yes please, prepare a lunch for me.

Please note, this survey is for this event only and we do not share your information. Information is used to make sure we can feed you!
*

I read and undertand.

A copy of your responses will be emailed to the address you provided.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

This form was created inside of Shinji Shumeikai of America.

Does this form look suspicious? Report