Luncheon Registration for Jacob Smith House 2024

Please complete Registration Form (Below) early. If spouse is attending also add name as Guest One. Complete Guest Field for all attending. If only one member attending then leave Guest Fields blank. You will automatically receive a copy of this form in a return email with all your information.
Event Date: December 12th 11 am to 2 pm, Register by November 30th and pay fee by December 3rd. There is limited seating available, so register and pay fee before December 3rd.
Menu: Turkey Breast Roast with cranberry orange relish, Mashed Potatoes with gravy, Herbed Bread Stuffing, Steamed Seasonal Vegetables, Salad and Dessert. Live Entertainment!
*Send Check made out to Mended Hearts Chapter 130 for $20 per person Payment on Luncheon to:
Mended Hearts Chapter# 130
PO Box 5551
Olympia, WA 98509-5551

Registration Form

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