ORDER FORM - SFV CORONATION
SATURDAY,
Check if reigning queen
Attending
Sunday
Breakfast?
PRIMARY PERSON
NSD Chapter
Dinner
Reigning Queen?
Attending Breakfast?
First person amount
SECOND PERSON
NSD Chapter
Dinner
Reigning Queen?
Attending Breakfast?
Second person amount
Address 1
Address 2
Telephone
Email address
Email addr
Please select:
San Fernando Valley
Not an NSD Member
Bakersfield
Fresno
Golden Gate
Palomar
San Diego
Visalia
Please select:
Filet Mignon
Chicken Cordon Bleu
Flounder Meunière
Falafel Mushroom Loaf
Please select:
San Fernando Valley
Not an NSD Member
Bakersfield
Fresno
Golden Gate
Palomar
San Diego
Visalia
Please select:
Filet Mignon
Chicken Cordon Bleu
Flounder Meunière
Falafel Mushroom Loaf
Dinner is buffet style with two entree choices.
Note the $4 per person fee for credit purchases.
Waiver: I/we understand and agree that the National Smooth Dancers Inc. (including all chapters) will not be held responsible for loss or theft of articles, nor be held liable for injuries sustained by persons dancing and/or competing at any chapter or National Smooth Dancers events. I/we hereby irrevocably give and grant to the National Smooth Dancers Inc. (including all chapters) the right to produce, use, refer to or reproduce any still photographs taken and video/audio recordings made at any and all chapter or National Smooth Dancers events.
PLEASE CHECK:
I AGREE
Inputs needed:
Fill form COMPLETELY
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Check payment type:
or
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Convenience Fee
TOTAL COST
