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Confirmation Dinner Registration

* Name of Confirmand

Complimentary guests are for the Confirmand/Family to determine.

If you are not the Confirmand, but would like to register to attend, please skip to SECTION 2.

Complimentary Guest #1

Complimentary Guest #2

SECTION 2:

Additional Guests (Age 10 and older)

Additional Guests (Ages 5-9)

Additional Guests (4 and under)

Please list any special dietary needs or food allergies of any guests

SEATING ARRANGEMENTS:
Round tables can be set for 8-10 people

Please list with whom you'd like to sit with if your party is less than 8.

IF APPLICABLE

Account Details

Enter your name and e-mail address for your confirmation:

*E-mail

*First Name

*Last Name

Payment Information

Account

Online Fee:

Credit Card

Name on Card

Card Type

Card Number

Expiration Date

Card Verification Number

Address Line 1

City

State/Province

Zip

Comments

Increase the amount by 3% to cover credit card fees. Please select YES to increase your payment.

Total:

Confirmation Dinner Registration

Account Details

Enter your name and e-mail address for your confirmation:

Payment Information

Credit Card

Checking Account

For added Security please check the box below.

Confirmation Dinner Registration

Account Details

Enter your name and e-mail address for your confirmation:

Payment Information

Credit Card

Checking Account

For added Security please check the box below.

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