MEAL CHOICE SELECTION

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MEAL CHOICE SELECTION

WHEN: Monday, 29 April 2024
WHERE: Dutch's Daughter, 581 Himes Avenue, Frederick

PLEASE INDICATE YOUR MEAL CHOICE AND FOR YOUR GUEST(s) IF YOU HAVE ONE

By Authority of DSCCFC, McCamie Patterson, Treasurer

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Name *

Organization, if purchasing a table

Email *

Guest One (YOUR Name) *

Meal Choice for Guest One (YOU) *

Dutch's Chicken (Chicken Tenderloins Topped with Ham, Asparagus, & Cheese)

Atlantic Salmon (Blackened with Honey Glaze)

Vegetarian Pasta

Required

Guest Two Name

Meal Choice for Guest Two

Dutch's Chicken (Chicken Tenderloins Topped with Ham, Asparagus, & Cheese)

Atlantic Salmon (Blackened with Honey Glaze)

Vegetarian Pasta

Guest Three Name

Meal Choice for Guest Three

Dutch's Chicken (Chicken Tenderloins Topped with Ham, Asparagus, & Cheese)

Atlantic Salmon (Blackened with Honey Glaze)

Vegetarian Pasta

Guest Four Name

Meal Choice for Guest Four

Dutch's Chicken (Chicken Tenderloins Topped with Ham, Asparagus, & Cheese)

Atlantic Salmon (Blackened with Honey Glaze)

Vegetarian Pasta

Guest Five Name

Meal Choice for Guest Five

Dutch's Chicken (Chicken Tenderloins Topped with Ham, Asparagus, & Cheese)

Atlantic Salmon (Blackened with Honey Glaze)

Vegetarian Pasta

Guest Six Name

Meal Choice for Guest Six

Dutch's Chicken (Chicken Tenderloins Topped with Ham, Asparagus, & Cheese)

Atlantic Salmon (Blackened with Honey Glaze)

Vegetarian Pasta

Guest Seven Name

Meal Choice for Guest Seven

Dutch's Chicken (Chicken Tenderloins Topped with Ham, Asparagus, & Cheese)

Atlantic Salmon (Blackened with Honey Glaze)

Vegetarian Pasta

Guest Eight Name

Meal Choice for Guest Eight

Dutch's Chicken (Chicken Tenderloins Topped with Ham, Asparagus, & Cheese)

Atlantic Salmon (Blackened with Honey Glaze)

Vegetarian Pasta

Payment Options *

Pay via ActBlue - https://secure.actblue.com/donate/fcdp-gala-2024

Mail a check payable to DSCCFC, P.O. Box 793 Frederick, MD 21705

I have already paid.

Required

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