Dinner Registration - Dec 2017
Please complete the following form to register yourself and your guest for the Sandhills MOAA December Dinner Dance.
Name *
Your answer
Phone Number with Area Code *
Your answer
Email Address
Your answer
Payment Type *
Dinner Choice for Yourself *
Are you bringing a guest? *
Song Request - Please list any songs you would like the DJ to play during the evening.
Your answer
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