Valentine's Dinner Sign-up -

Valentine's Dinner Sign-up

How many adults do you wish to sign-up? *

1 @ $25 2 @ $50 3 @ $75 4 @ $100

Succulent Shrimp & Grits (Indicate number of this entree you are ordering: 0 - 4) *

0 1 2 3 4

Delicious Prime Rib (Indicate number of this entree you are ordering: 0 - 4) *

0 1 2 3 4

Will you attend the short Wedding Vow Renewal at 5:45? *

Yes No

*please raise your right hand* Will you remit payment of $25 per person to the church office by Wednesday, Feb. 8? *

Of course - I'm reaching for my wallet right now Haha! You'll have to catch me first! (Remember - we KNOW where you live!)

Name *