February 2, 2019 By VRW Meeting Date* Date Format: MM slash DD slash YYYY Name* First Last Email* Please don't use a Yahoo mail address. They are not very reliable in delivering notifications, so if Yahoo is your only email address, you may not receive a confirmation.Are you bringing guests?*YesNo, just meMeeting Only Price: $30.00 Quantity*Please enter the number of people included on this reservation including yourself and your guests. If you have more than 4 guests, use a second form for the others.Guest #1*Guest #2*Guest #3*Guest #4*Meeting No Guests Price: $30.00 Total $0.00 How Will You Pay?*Credit Card/PayPalCashPlease bring cash to the meeting and pay at the check-in desk. PayPal/Credit Card PaymentsThe club must report all non-cash payments for lunch so please fill out your address, occupation and employer for that purpose.Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Occupation*Employer*VRW uses PayPal to process our credit card payments. After you click Send Reservation, you will be redirected to PayPal. If you want to use a debit or credit card and you don't already have a PayPal account, look for the link (Sample only pictured below). There will be no refunds unless you cancel by the cancellation deadline noted above This iframe contains the logic required to handle Ajax powered Gravity Forms.