Wednesday Dinner Sign-Up
Sign up and pay here for our Wednesday Evening Dinner at 5:30 p.m.
Enter through entrance "B" - $8 for adults, $5 for children, with a $20 family maximum.
First time guests and college students eat free!
Name
*
Email
*
This address will receive a confirmation email
Please sign up by NOON on Wednesday day-of, so the kitchen can be prepared.
How many adults will attend?
How many children will attend?
Comments?
Payment
Pay by cash or check in person ($0)
1 Adult ($8)
2 Adults ($16)
1 Adult + 1 Child ($13)
1 Adult + 2 Children ($18)
Family Maximum ($20)
Pay by cash or check in person ($0)
1 Adult ($8)
2 Adults ($16)
1 Adult + 1 Child ($13)
1 Adult + 2 Children ($18)
Family Maximum ($20)
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
Sign up and pay here for our Wednesday Evening Dinner at 5:30 p.m.
Enter through entrance "B" - $8 for adults, $5 for children, with a $20 family maximum.
First time guests and college students eat free!
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