Jeremiah's Crossing, Inc. / Events & Fundraising / Mane Event

Jeremiah's Crossing Mane Event RSVP Registration Form

First Name

Last Name

Your contact info:

Email Address

Phone Number

What is the best way to reach you?

Email

Phone

Please enter your full address:

Street Address

City

State

Zip Code

Number of Tables

Number of Guests in your party

Names of others with whom you would like to be seated.

Dinner Choices - Entree's will be served with: Sprouted Rice and Quinoa Blend, Dilled Carrots, Walnut & Fig Salad, Roll & Whipped Butter, Appetizers, and Dessert.

If you care to register more than one guest, please indicate additional names with dinner choices below. For example: Mrs. Harris - #4 Thank you!

Kindly pay online by clicking on our donation button and indicate your payment for the Mane Event. If you are not able to attend, please consider making a donation. Thank you so much for supporting our Mane Event Winter Gala Fundraiser. We are blessed to have you on our team.

Mane Event Registration