EmailMeForm
Hartford Chapter AGO Annual Meeting/Dinner
Date
Monday, May 23rd, 2016 from 6:30 to 9:00 pm
Address
Avon Old Farms Hotel and Restaurant
Avon, CT
Cost - $20 per person
Reservations due by Monday, May 16, 2016 with menu choices and payment included.
Sign-up Instructions
Fill out this form with your contact information and your menu choice(s).
Then click the "Submit" button at the bottom which will take you to our payment page where you can pay online using your credit card or your PayPal account. If you need to pay by check, select the box below. Instructions are on the payment page.
I plan to pay by check
My Name
*
First
Last
Spouse or Guest Name
First
Last
Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Email
*
Phone
*
###
-
###
-
####
Menu Choice for Myself
*
1. Fillet of Sole with Seafood Stuffing
2. Penne Pasta Tossed with Broccoli, Dried Tomatoes, Eggplant, etc.
3. Kentucky Bourbon Sirloin
Menu Choice for Spouse or Guest
1. Fillet of Sole with Seafood Stuffing
2. Penne Pasta Tossed with Broccoli, Dried Tomatoes, Eggplant, etc.
3. Kentucky Bourbon Sirloin
Questions / Comments
Powered by
EMF
Online HTML Form
Report Abuse
