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Holiday Potluck Dinner 2018
* Required
Last Name:
*
First Name:
*
Are you attending the Event? :
*
Yes
No
Contact Number:
Contact Email:
Are you a member of STICA (for 2018)? :
*
Yes
No
Will be
Number of Full Members Attending (Ages 12 & Up)
*
0
1
2
3
4
5
6
7
Number of Full Members Attending (Ages 7 to 11)
*
0
1
2
3
4
5
6
7
Number of Persons (Non-members/Guests of Full Members) Attending (Ages 12 & Up)
*
0
1
2
3
4
5
6
7
Number of Persons (Non-members/Guests of Full Members) Attending (Ages 7 to 11) :
*
0
1
2
3
4
5
6
7
Are you new to STICA? :
*
Yes
No
Did you move into the area after December
2016
*
Yes
No
Number of Kids (Ages less than 7yrs):
*
0
1
2
3
4
5
6
7
I/we will bring the following item.
Click
here
to make your selection.
Click
here
for event details.
2018 Holiday Potluck Donations
Family of 2 or more $15.00 USD
Individual $10.00 USD
Voluntary Donation $50.00 USD