Your Title: Mr. Mrs. Ms. Deaconess Rev. Rev. Dr. Dr. Your first name: Your last name:
Your address
Your City Your State: Your zip:
Contact Phone:
Contact email:
Total Number of banquet only tickets requested: Please indicate number of Regular (chicken) meals in total number above Please indicate number of Vegetarian (pasta/veggie) meals in total number above
Tickets cost $75.00 each and can be paid for by check or online by using our Online Payments and Donations link on the front page of our website.
