2025 Christmas Dinner Registration
Wednesday, December 10, 2025| 6:00 PM | Please complete this form to join us for our Annual Christmas Dinner
Name
*
Email
Phone
Address
--
AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Dinner Guest - Ages 9 and Up
Total Payment for Ages 9 and Up ($10 each)
0 ($0)
1 ($10)
2 ($20)
3 ($30)
4 ($40)
5 ($50)
6 ($60)
7 ($70)
8 ($80)
9 ($90)
10 ($100)
Cash/Check (0)
0 ($0)
1 ($10)
2 ($20)
3 ($30)
4 ($40)
5 ($50)
6 ($60)
7 ($70)
8 ($80)
9 ($90)
10 ($100)
Cash/Check (0)
Amount
Dinner Guest - Ages 3 to 8
Total Payment for Ages 3 to 8 ($6 each)
0 ($0)
1 ($6)
2 ($12)
3 ($18)
4 ($24)
5 ($25)
6 ($36)
7 ($42)
8 ($48)
9 ($54)
10 ($60)
Cash/Check (0)
0 ($0)
1 ($6)
2 ($12)
3 ($18)
4 ($24)
5 ($25)
6 ($36)
7 ($42)
8 ($48)
9 ($54)
10 ($60)
Cash/Check (0)
Amount
Dinner Guest - BABIES
Total Payment for Ages 2 and Under (FREE)
0 ($0)
1 ($0)
2 ($0)
3 ($0)
4 ($0)
5 ($0)
6 ($0)
7 ($0)
8 ($0)
9 ($0)
10 ($0)
0 ($0)
1 ($0)
2 ($0)
3 ($0)
4 ($0)
5 ($0)
6 ($0)
7 ($0)
8 ($0)
9 ($0)
10 ($0)
Amount
Credit/Debit Card Number
Expiration Date/CVC
Name on Card
Card Billing Address
AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Submit
Description
Wednesday, December 10, 2025| 6:00 PM
Please complete this form to join us for our Annual Christmas Dinner
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