Serve Like Jesus Banquet 2022

Serve Like Jesus PA Banquet 2022

Please fill out the information below to register for the PA 2022 Banquet at Osbornia Farm, Thursday, March 24th, for Lunch at 12:00 PM (Option #1) or Dinner at 6:00 PM (Option #2). Food will be provided and catered by Hess Barbeque. If you are unable to attend and would like to send a special banquet gift, please do so below.

Name*
First Last
Email*
Enter Email Confirm Email
Phone*
Address*
Street Address Address Line 2 City State ZIP Code
Attendance Options*
- Attending Lunch (Option #1)
- Attending Dinner (Option #2)
- Regretfully decline
Dietary Restrictions
- Vegetarian
- Gluten Free
Guest Names
First Name Last Name Email Phone Vegetarian or Gluten Free

Please add the names and emails of any guests who will be attending with you.
Comments

Give A Special Banquet Gift

Where the Need is Greatest

$ Donation Amount:

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Make this donation monthly

Additional Information

Notes

Select Payment Method

Authorize.Net - Credit Card
PayPal

Personal Info

First Name *

Last Name

Email Address *

Credit Card Info

This is a secure SSL encrypted payment.

Card Number *

CVC *

Cardholder Name *

Expiration *

Billing Details

Country *

Address 1 *

Address 2

City *

State *

Zip / Postal Code *

Donation Total: $150 One Time

Serve Like Jesus PA Banquet 2022

Give A Special Banquet Gift

Where the Need is Greatest

We Are Accountable to Those We Serve and Our Donors.