2023 APONC Specialty Dinner ORDERS

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We look forward to seeing you at Liberty Oak Restaurant & Bar at 6:15 pm for dinner with the 2023 Annual meeting to follow at 7:30 pm. Please select what items you would like for dinner. Once this has been done, please send your payment to Isabelle Majerus. Don't forget to include tax and a 20% gratuity to your order. If you are paying via PayPal, please include a $2 surcharge. The deadline for orders and payment is July 31, 2023. Lastly, please complete this form for 1 person at a time.

If you need to make any changes to your order after submitting this form, please contact Amanda Bangera (amandabangera.aponc@gmail.com). DO NOT submit another form. Thanks!

(1) Full Name (First, Last): *

(2) What would you like for your entree? *

Salmon ($26)

Shrimp and Grits ($26)

Bourbon Glazed Filet Medallions ($36)

Liberty Oak Grilled Chicken ($23)

The Oak Burger ($17)

Vegetarian Option ($24)

(3) If you ordered the "Liberty Oak Grilled Chicken" or "The Oak Burger," which side would you like? *

Fresh Fruit

Fresh Vegetable Medley

Garlic Mashed Potatoes

Grilled Asparagus

Hand Cut Chips

Hand Cut Fries

Pesto Pasta Salad

Saffron Rice

Sautéed Brussel Sprouts

N/A - I ordered a different entree.

(4) What would you like for dessert? *

Oreo Mousse Cake ($8.50)

White Chocolate & Fresh Blueberry Bread Pudding ($8.50)

Vanilla Bean Creme Brûlée with Fresh Berries ($8.50)

None

(5) What would you like to drink? *

Soft drink, sweet tea, etc. ($2.79)

Water

(6) Use the image below to help you find out how much you owe for your dinner. How do you plan on prepaying for dinner? DUE 7/31/23. *

Check (Written to APONC and mailed to Isabelle Majerus)

Zelle

PayPal (Don't forget to add $2 to your total for the surcharge.)

Other:

APONC Specialty Dinner Prices (TOTAL)

(7) Do you have any dietary restrictions that have not been met by the menu? If so, please elaborate below. If not, please write "N/A." *

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