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Banquet Registration

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VBPC Banquet
19 Jan 2013 (Saturday)
6:00 PM to 10:00 PM

Use this form to register for the Jan 19th, 2013 VBPC Awards Banquet. After submitting the registration, you will have an option to make your payment via PayPal if you desire. If you do not want to use Paypal, you may also pay in person at the January 4th Membership Meeting.

Your Name:


Your Email:

Please choose your entree (Chicken or Beef)?



Guest 1: | Entree?
Guest 2: | Entree?
Guest 3: | Entree?