January Mission Dinner

January 7, 5:30-6:30pm | Complete this form to RSVP for the January mission dinner at St. Mark's UMC on 12/3/2025 at 5:30pm hosted by CMT. The cost is $10 for adults and $5 for kids. Please complete this form and join us for dinner with friends and neighbors!

Name

*

Email

*

This address will receive a confirmation email

Number of Adults ($10 each)

*

Please select one option.

1 2 3 4 5 6 7 8 9 10 None

Number of Children ($5 each)

*

Please select one option.

1 2 3 4 5 6 None

How many gluten free adult meals do you need?

How many vegetarian meals do you need?

I will pay:

*

Please select all that apply.

Cash (at door) Check (at door) Credit Card (now)

Payment: Please select the correct total for your group. Remember it is $10/adult and $5/child.

($0) ($5) ($10) ($15) ($20) ($25) ($30) ($35) ($40) ($45) ($50) ($55) ($60) ($65) ($70) ($75)

Amount

Credit/Debit Card Number

Expiration Date/CVC

Name on Card

Card Billing Address

Description

January 7, 5:30-6:30pm

Complete this form to RSVP for the January mission dinner at St. Mark's UMC on 12/3/2025 at 5:30pm hosted by CMT. The cost is $10 for adults and $5 for kids. Please complete this form and join us for dinner with friends and neighbors!

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