2025 Award Luncheon Reservations Contact Name(Required)Person completing this form First Last Contact Phone(Required)Contact Email(Required) Attending in honor ofI am a Woman of Achievement, Class ofSeats are $60 each. A full table consists 8 seats. You may purchase up to 8 seats per reservation form. Your group of invitees on this registration page will be seated together. Price: Number of seats(Required)Please enter a number from 1 to 8.Seat #1 Reservation Name(Required) First Last Seat #1 Menu Selection(Required) Regular Vegetarian Any Food Allergies? Please specify the food allergySeat #2 Reservation Name(Required) First Last Seat #2 Menu Selection(Required) Regular Vegetarian Any Food Allergies? Please specify the food allergySeat #3 Reservation Name(Required) First Last Seat #3 Menu Selection(Required) Regular Vegetarian Any Food Allergies? Please specify the food allergySeat #4 Reservation Name(Required) First Last Seat #4 Menu Selection(Required) Regular Vegetarian Any Food Allergies? Please specify the food allergySeat #5 Reservation Name(Required) First Last Seat #5 Menu Selection(Required) Regular Vegetarian Any Food Allergies? Please specify the food allergySeat #6 Reservation Name(Required) First Last Seat #6 Menu Selection(Required) Regular Vegetarian Any Food Allergies? Please specify the food allergySeat #7 Reservation Name(Required) First Last Seat #7 Menu Selection(Required) Regular Vegetarian Any Food Allergies? Please specify the food allergySeat #8 Reservation Name(Required) First Last Seat #8 Menu Selection(Required) Regular Vegetarian Any Food Allergies? Please specify the food allergyI would like to make a donation to Women of Achievement in the amount of In Honor of In Memory of NamePlease notifyWould you like to help cover credit card processing fees? Yes, add 3% to my amount. Thank you for helping to cover credit card processing fees. Price: $ 0.00 Total amount to be charged Credit Card(Required) American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Month Month010203040506070809101112 Year Year20252026202720282029203020312032203320342035203620372038203920402041204220432044 Security Code Cardholder Name Interested in becoming a sponsor? Please contact me about sponsorship opportunities. Refund Policy(Required) I understand if I have any questions about payment or need a refund, I will contact woastlouis@gmail.com. PhoneThis field is for validation purposes and should be left unchanged.
