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Registration Form

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Name *

First

Last

Address *

Address Line 1

Address Line 2

City

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Zip Code

Email *

Phone # *

SEATING: Maximum of 8 people per table. Please select one option below. *

• No Seating Preference. Seat me at any open table.
• Please seat me with any other members of my branch, if possible.
• I would like to sit with the attendees listed below (maximum of 7). They will register and pay separately.
• I am reserving & paying for an entire table of 8. All 8 names are listed below and meals selected.
• I am not attending the luncheon but wish to make a donation, purchase tiles or purchase notecards.

below. Selection Please

WNFGA Branch Name

WNFGA Branch Name *

List Names of the other Attendees (Maximum of 7) *

Ticket Type *Please select your ticket typeLunch @ $55 (through March 31)Lunch @ $100 (includes Program listing)Lunch @ $65 (April 1 - April 6)

My Meal Selection *

• Chicken Salad
• Vegetarian

Your Name *

Your ticket type *Please selectLunch @ $55 (through March 31)Lunch @ $100 (includes Program listing)Lunch @ $65 (April 1 - April 6)

Your Meal Selection *

• Chicken Salad
• Vegetarian

Attendee 2 Name *

Attendee 2 ticket type *Please selectLunch @ $55 (through March 31)Lunch @ $100 (includes Program listing)Lunch @ $65 (April 1 - April 6)

Attendee 2 Meal Selection *

• Chicken Salad
• Vegetarian

Attendee 3 Name *

Attendee 3 ticket type *Please selectLunch @ $55 (through March 31)Lunch @ $100 (includes Program listing)Lunch @ $65 (April 1 - April 6)

Attendee 3 Meal Selection *

• Chicken Salad
• Vegetarian

Attendee 4 Name *

Attendee 4 ticket type *Please selectLunch @ $55 (through March 31)Lunch @ $100 (includes Program listing)Lunch @ $65 (April 1 - April 6)

Attendee 4 Meal Selection *

• Chicken Salad
• Vegetarian

Attendee 5 Name *

Attendee 5 ticket type *Please selectLunch @ $55 (through March 31)Lunch @ $100 (includes Program listing)Lunch @ $65 (April 1 - April 6)

Attendee 5 Meal Selection *

• Chicken Salad
• Vegetarian

Attendee 6 Name *

Attendee 6 ticket type *Please selectLunch @ $55 (through March 31)Lunch @ $100 (includes Program listing)Lunch @ $65 (April 1 - April 6)

Attendee 6 Meal Selection *

• Chicken Salad
• Vegetarian

Attendee 7 Name *

Attendee 7 ticket type *Please selectLunch @ $55 (through March 31)Lunch @ $100 (includes Program listing)Lunch @ $65 (April 1 - April 6)

Attendee 7 Meal Selection *

• Chicken Salad
• Vegetarian

Attendee 8 Name *

Attendee 8 ticket type *Please selectLunch @ $55 (through March 31)Lunch @ $100 (includes Program listing)Lunch @ $65 (April 1 - April 6)

Attendee 8 Meal Selection *

• Chicken Salad
• Vegetarian

Please list individual dietary restrictions.

Donation for daffodil bulbs. Your additional support is greatly appreciated!

Minimum Price: $5.00

Daffodil Tile @ $50 eachNone - $0.001 Tile - $50.002 Tiles - $100.003 Tiles - $150.004 Tiles - $200.005 Tiles - $250.006 Tiles - $300.00

Notecards, 12 pack @ $20 eachNone - $0.001 Pack - $20.002 Packs - $40.003 Packs - $60.004 Packs - $80.005 Packs - $100.006 Packs - $120.00

Tiles and notecards may be picked up at the luncheon. Shipping is available for an additional charge. Please contact Pat Brown at patb501946@gmail.com prior to purchasing if you require shipping.

Total

$0.00

Anti-spam Question *

What is the 2nd letter of the alphabet

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After you submit the form, you’ll be forwarded to PayPal to complete payment to
The Michigan Farm & Garden Foundation. Thank you!