2019 Retiree Dinner

The Retiree dinner and celebration will be held Thursday, May 30, 5:00 pm at the Kansas Expocentre in the Sunflower Room.

*First Name
*Last Name
*Address 1
*City
*State
*Zip
*Email
Please check if you are a retiree.
*I will be attending the dinner and celebration
Yes
No
Please include the following to be included in the bulletin
Spouses name and date of marriage:
Names of children:
*Dinner for you and one guest is provided. - Please indicate below the additional names of those joining you for dinner.

Attending with me will be:

I/We will be celebrating the Retirement of:
Retiree Dinner & Celebration ($22)

Yankee Pot Roast roasted with carrots, onions, garlic, thyme and red wine; topped with a veal demi-glace, Vegetable, House Salad, Rolls, Dessert, coffee, tea and water.

Indicate # of meals for people attending (do not include the 2 complimentary meals for the retiree) (only indicate below the number of additional meals that you will need)

There are only 341 available
Only number values are allowed
Dietary Concerns

You may select more than one if needed.

Vegetarian
Gluten Free
None
If you indicated dietary concerns, how many on this registration have them?
Payment

Payment by credit card - Upon submitting this form you will have the option to pay by credit card through PayPal. You do not need a PayPal account to pay by credit card.

Payment by check - Please indicate Retirement Dinner and include your name on the check so we know who the payment is for. Checks should be made out to the Great Plains Conference and mailed to:

Retirement Dinner, 1207 SW Executive Drive, Topeka, KS  66615

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