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HOME
About Us
About LRW
Republican Core Values
Join Us!
Our Friends
Calendar
Monthly View
Upcoming - by Category
Information
Videos
Gail's Links
Cage's Corner
Classes
Take Action
Update Your Voter Registration
Write Letters to the Editor
Sign up for LRW Newsletter
12 Easy Ways to Start
Donate to LRW
Pay Dues
Contact Us
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Home
Event registration form
Register for an LRW Dinner with Guest Speaker
The
*
denotes a required field.
First Name
*
Invalid Input
Last Name
*
Invalid Input
Best Phone to reach you
*
Any normal format of a 10-digit phone number will do.
Email
*
Please enter a valid email address.
Dinner
*
Registration is closed
Invalid Input
Please select the tickets you wish to purchase.
LRW Members Having Dinner
none
1 - $18.00
2 - $36.00
3 - $54.00
4 - $72.00
Invalid Input
Non-members Having Dinner
none
1 - $24.00
2 - $48.00
3 - $72.00
4 - $96.00
Invalid Input
Attendees NOT wanting dinner
none
1 - $10.00
2 - $20.00
3 - $30.00
4 - $40.00
Invalid Input
So we can print up name tags, please type the names of people you are bringing. Tell us anything else here too.
Message
Please limit your special characters to standard punctuation.
Payment Method
On-line now
at Event (check, cash, or credit card)
Select "On-line now" and receive a 5% discount.
The total below will not show the discount because you will see the discount applied at the LRW PayPal site where you can pay by credit card or your own PayPal account. (Refund Policy is below.)
Logged in
NO
YES
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Let us know you are human!
*
Invalid Input
Total
$0.00
Please complete all required fields and press the Submit button again!
Become a Member!
LRW Membership Cost is $25 per year for Full Membership and $15 per year for Associate Membership. Associate Memberships are available to women who have full membership in another Republican Women's Club and to men who wish to support our cause and attend events.
Sign up
here
.
Offline Payment Status
Not Paid Yet
Invalid Input
Consumed Dinners
None
1
2
3
4
5
6
Invalid Input
Final: Count of dinners this party consumed.
RSVPed
RSVPed
Just showed up
Invalid Input
If a party of say 4 showed up and only one had RSVPed, aw heck just put something in the admin notes and show this as "Just showed up."
Admin Notes
In Admin Notes limit your special characters to standard punctuation, please.
Put your admin notes, if you have any.
Online Discount
Price includes 5% discount
None
Invalid Input
Submitted or Last Updated
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