Convention Meal Registration

Your Name*

Your Partner's Name

Your Detachment Name*

Your Detachment Mailing Address*

Current Detachment / Department / Division Title

Your Phone #*

Your Email:*

Are you attending Thursday's Burger Burn ?*

yes no

Total attending free burger burn

0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15

Are you going to All American Breakfast Buffet*

yes no

How many attending Friday? *

0) $0.00 1) $20.00 2) $40.00 3) $60.00 4) $80.00 5) $100.00 6) $120.00 7) $140.00 8) $160.00 9) $180.00 10) $200.00 11) $220.00 12) $240.00 13) $260.00 14) $280.00 15) $300.00

How many attending Saturday? *

0) $0.00 1) $20.00 2) $40.00 3) $60.00 4) $80.00 5) $100.00 6) $120.00 7) $140.00 8) $160.00 9) $180.00 10) $200.00 11) $220.00 12) $240.00 13) $260.00 14) $280.00 15) $300.00

How many attending Sunday? *

0) $0.00 1) $20.00 2) $40.00 3) $60.00 4) $80.00 5) $100.00 6) $120.00 7) $140.00 8) $160.00 9) $180.00 10) $200.00 11) $220.00 12) $240.00 13) $260.00 14) $280.00 15) $300.00

How many attending MODD Taste Of Sturbridge*

0) $0.00 1) $50.00 2) $100.00 3) $150.00 4) $200.00 5) $250.00 6) $300.00 7) $350.00 8) $400.00 9) $450.00 10) $500.00 11) $550.00 12) $600.00 13) $650.00 14) $700.00 15) $750.00

Are you attending the Grand Banquet?*

yes no

How many breast of Chicken?*

0) $0.00 1) $40.00 2) $80.00 3) $120.00 4) $160.00 5) $200.00 6) $240.00 7) $280.00 8) $300.00 9) $340.00 10) $380.00 11) $400.00 12) $440.00 13) $480.00 14) $500.00 15) $540.00

How many Prime Rib?*

0) $0.00 1) $52.00 2) $102.00 3) $156.00 4) $208.00 5) $260.00 6) $312.00 7) $364.00 8) $416.00 9) $468.00 10) $520.00 11) $572.00 12) $624.00 13) $676.00 14) $728.00 15) $780.00

How Many Baked Haddock?*

0) $0.00 1) $38.00 2) $76.00 3) $114.00 4) $152.00 5) $190.00 6) $228.00 7) $266.00 8) $304.00 9) $342.00 10) $380.00 11) $418.00 12) $456.00 13) $494.00 14) $532.00 15) $570.00

How many Butternut Squash Ravioli*

0) $0.00 1) $39.00 2) $78.00 3) $117.00 4) $156.00 5) $195.00 6) $234.00 7) $273.00 8) $312.00 9) $351.00 10) $390.00 11) $429.00 12) $468.00 13) $507.00 14) $546.00 15) $585.00