Join us for Ladies Night!

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

You are invited to join us for a special evening for women to enjoy good company, support small business owners, and support the Justin Sheftel Memorial Fund.

Event Details:

Date: Wednesday, November 12, 2025

Location: Randall's on the Orchard, 2016 Applewood Drive, Orefield

Time: 5pm-7pm

Kindly register below and let us know you are coming!

Full Name (First + Last Name) *

Email Address *

RSVP Below! *

Yes, I plan to attend.

No, I am not able to attend.

Phone Number

If attending please specify what you are likely to bring to the event.

Gift card valued at $50 or more.

Themed gift basket valued at $50 or more.

I will make a donation of $50 to the Fund.

I am unable to donate at this time, but look forward to attending.

Unsure/Undecided.

Clear selection

Submit

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