Wednesday Dinner Reservation

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Please fill this form out completely to make your reservation for this week's Wednesday night dinner. Cost is $5.00 for large portion meals, $3.00 for small portion meals. There is a cap of no more than $15 per family. Please pay at the door. If it is your first time eating dinner with us, your meal is free.

Thanks for helping us make sure there is enough food for everyone who attends!


Your Name
Your Email Address
Your Phone Number
Today's Date
I am making a reservation for (enter date)
Number of Adults
Number of Children
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