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2012 Elizabeth Progressive Dinner
Please fill out this form to attend the 2012 Progressive Dinner. You may also indicate below if you are interested in serving as a host house. Host houses provide bread and beverages; all food will be provided by your guests.
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* Indicates required question
Name of 1st Guest
*
Last, First
Your answer
Name of 2nd Guest
Last, First
Your answer
Street Address
*
Example: 1234 E 8th St
Your answer
Email address
*
Your answer
Cell Phone Number
*
Your answer
Home Phone Number
Your answer
Would you be willing to serve as a host house?
*
Host houses need to be able to seat 8-12 people (including yourselves) for dinner.
Yes
No, thank you
We would consider it if you are desperate
If you answered "yes" to the above question, what is the maximum number of people you can host (including yourselves)?
Your answer
If you have any comments or special requests, please note them here.
Your answer
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