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Friends of Lucia 2019

$ 1000
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$ 120
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12%
Updated
10 Apr 2019

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Smörgåsbord Reservation Form

(Must be received by Tuesday, November 5, 2019!)


Intended Method of Payment: *
Member Name(s):
Non-Member Guest Name(s):
Phone (incl. area code): (#'s only; no dashes/spaces/punctuation)
E-mail: *
Number of Adult Members ($30 each):
Number of Non-Member Guests ($35 each):
Number of Youth 12 and Under ($15 each):
Total Cost: * $ (Do not enter a dollar sign)