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PFLAG Sauk Valley Benefit Dinner
Sunday, October 20, 2019
Brandywine, Dixon
5:00 pm
Dessert auction to raise money for
college scholarships
and Youth Outlook
First Name
*
Last Name
*
Email Address
*
Phone Number
*
How many in your party?
Adults Attending ($40)
1
2
3
4
5
6
Students Attending ($30)
1
2
3
4
Meal Options
Chicken Marsala
Prime Pork Rib Eye
Cheesy Broccoli Pasta
Coffee and tea included
Cash Bar
Choose Your Entree
Please make sure your meal choices equal the number of people in your party. We ask that you record each person’s order and bring the document with you to the restaurant to ensure receipt of the correct entree.
Chicken Marsala
1
2
3
4
5
6
7
8
Prime Pork Ribeye
1
2
3
4
5
6
7
8
Cheesy Broccoli Pasta
1
2
3
4
5
6
7
8
Payment (PayPal Only)
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