JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
2023 Winter Dinner Registration
To be held Saturday, February 18, 2023 from 6:00 - 9:00pm @ Tony's Italian Grill at 2315 E. Main St, Endicott, NY 13760.
We will have a THON theme (photos, videos, speaker) and encourage your involvement.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Name
*
Your answer
Phone Number
*
Your answer
Email Address
*
Your answer
Total number of people attending
*
Cost: $40/person
1
2
3
4
Other:
Required
Name of your guests
Leave blank if attending alone
Your answer
THON memories to share
*
We will try and have a projector to share memories, photos, or videos. All raffle funds raised will be donated to THON from our chapter.
Photos
Videos
Stories or experiences
Items for a donation raffle
Not Interested
Payment method
*
Write checks to Penn State Chapter of Greater Binghamton and mail to Scott French 3101 Cortland Dr, Vestal, NY 13850
Check
Paypay (($2/guest surcharge)
Please read the statement below and agree to the terms
*
*The registration for the dinner makes the purchaser responsible for total payment in full. *The chapter is not responsible to refund registration. *All sales are final. *The chapter is not responsible for inclement weather. *Payment in full is required at time of registration.
I had read, understand, and agree to the terms above.
Required
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
