Wednesday Night Dinner Sign Up
Email address *
Your Name *
Your answer
Date of Dinner *
MM
/
DD
/
YYYY
Number of Adults Dining *
Your answer
Number of Children Dining *
Your answer
Total Amount Owed ($5 per adult, $3 per child) *
(Ex: $5.00)
Your answer
A copy of your responses will be emailed to the address you provided.
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