2019 Quaker Valley Council of Governments Annual Dinner Registration

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Join us
October 16, 2019
7 PM (6 PM Hospitality)
Clubhouse Assembly Room at Masonic Village
1000 Masonic Dr, Sewickley, PA 15143

Hospitality Hour
1 drink ticket; cash bar

Dinner
Salad

Sliced Eye of Round with Mushroom and Burgundy Sauce
OR
Lightly Breaded Chicken with Apricot Brandy Sauce and Georgia Pecan
(Vegetarian available-please call QVCOG office)

Roasted Potatoes | California Vegetables
New York Cheesecake with Strawberries
Coffee or Tea
1 drink ticket, Cash Bar

Program
Keynote Speaker
Recognitions
50 /50 raffle
Door Prizes

$50

Email *

Name of person completing this registration *

Your Phone Number *

Name of Organization *

Organization Address: Street *

Organization Address: City *

Organization Address: State *

Organization Address: Zip *

Is this registration for an individual or multiple people? *

Individual

Multiple People

Clear form

Never submit passwords through Google Forms.

This form was created inside of Quaker Valley Council of Government. Report Abuse

Forms