Wednesday Night Fellowship Dinner Reservations
Please make your reservations by Monday @ 1 p.m.
Name:*
Phone: (xxx) xxx-xxxx*
Email:*
Please let us know when you will be here.
mm/dd*
How many are in your party?*
Adults: $4.00
Children 4 - 10yr: $3.00
Children under 3: FREE
Family Rate: $18.00
Would you like a Chef Salad?
if so... How many?