Ladies' Christmas Dinner Registration

December 6, 2024 | Please join us for an evening of fellowship and worship as we focus on the birth of Jesus, our Messiah, and "Prepare Him Room".
Date: December 6, 2024
Location: Eden Baptist Church
Time: 6:00pm

Eden Baptist Member Info

Eden Baptist Member Name

Dietary Restrictions

Please select one option.

None Gluten Free Dairy Free Gluten/Dairy Free Other

Guest Info

Guest Name

Dietary Restrictions

Please select one option.

None Gluten Free Dairy Free Gluten/Dairy Free Other

Guest Name 2

Dietary Restrictions

Please select one option.

None Gluten Free Dairy Free Gluten/Dairy Free Other

Guest Name 3

Dietary Restrictions

Please select one option.

None Gluten Free Dairy Free Gluten/Dairy Free Other

Guest Name 4

Dietary Restrictions

Please select one option.

None Gluten Free Dairy Free Gluten/Dairy Free Other

Guest Name 5

Dietary Restrictions

Please select one option.

None Gluten Free Dairy Free Gluten/Dairy Free Other

Guest Name 6

Dietary Restrictions

Please select one option.

None Gluten Free Dairy Free Gluten/Dairy Free Other

Guest Name 7

Dietary Restrictions

Please select one option.

None Gluten Free Dairy Free Gluten/Dairy Free Other

Payment

Payment

1 Person ($15.00) 2 People ($30.00) 3 People ($45.00) 4 People ($60.00) 5 People ($75.00) 6 People ($90.00) 7 People ($105.00) 8 People ($120.00)

Amount

Credit/Debit Card Number

Expiration Date/CVC

Name on Card

Card Billing Address

Description

December 6, 2024

Please join us for an evening of fellowship and worship as we focus on the birth of Jesus, our Messiah, and "Prepare Him Room".
Date: December 6, 2024
Location: Eden Baptist Church
Time: 6:00pm

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