I am attending the extra Dinner & Journal Time - Monday, November 16

Name

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Phone

Payment

Note:

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Description

This form is to let Joleen know that you are planning to attend the extra dinner & journal time for Between Monday's on November 16 @ 6:30pm.

Looking forward to seeing you!
-Joleen

I am attending the extra Dinner & Journal Time - Monday, November 16

Description

Please Fix the Following