Payment and/or Registration for Easter Brunch

RESERVATON AND PAYMENT FORM

Class code:

Please fill-in all the boxes below:

First name:

Last name:

Phone/home:

Number of adults: Adults are $15 each,

Number of children (ages 6-12): Children are $5 each

Payment total: $ On-line by credit card (a secure transaction)

Please note this total – you will be asked for it again at the PayPal page.

(after submitting this form you will be automatically taken to the payment page)