Valentines for Life Yuma Registration

15 VFL Website Graphic Yuma

REGISTER HERE!

Contact Information

Organization Name:
Name:*
Phone:*
-
E-mail:*

Please note: event will be seated as TABLES OF EIGHT. 
For more than eight attendees, please complete the registration form multiple times as needed.

If you have any questions, please call Sarah at 480-675-5698

Number of Attendees:*

Attendee Information

Please list the names of all event attendees.

Attendee 1*
Attendee 2
Attendee 3
Attendee 4
Attendee 5
Attendee 6
Attendee 7
Attendee 8

DIETARY RESTRICTIONS

(Please indicate the # of members in your group who have special dietary needs)

Full Menu Below
Total: 0/8

For more information, please contact us at 480-675-5698. 

EVENT MENU

Mixed Green Salad
Chicken Marsala
AuGratin Potatoes
Green Bean Amandine
Cheesecake

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