Please fill out a separate form for each participant. Price: $40.00 + $2.00 online processing fee (includes Melissa’s famous pasta, salad, garlic bread and two bingo cards) additional bingo cards can be purchased for $5.00! Adults Only – Full Bar Available Doors Open at 5:30pm Dinner begins at 6:30pm Bingo starts at 7:00pm Please bring donations to support the Mercy House in SSF, which houses homeless Veterans!!! Requested items are basic living essentials: For example, bedding for full-size beds, kitchen/bath towels, paper towels, toilet paper, laundry soap, shampoo and conditioner, or any other basic essentials. Please, NO toothpaste or toothbrushes as Mercy House has plenty already! Please RSVP and register by September 19, 2024. Click here for the flyer. A RESERVATION MADE IS A RESERVATION PAID!How did you hear about this event? Are you an LPI/LSA member?(Required) Yes No What Professional LSA/LPA Organization do you belong to?(Required)Choose...Alameda County LSABeverly Hills Century City LSAConejo Valley LPAContra Costa County LPADesert Palm LPAFresno County LPAHumboldt County LPALivermore-Amador Valley LPALong Beach LPALos Angeles LSAMarin County LPAMerced County LPAMt. Diablo LPAOrange County LPAPlacer County LPARio Hondo District (LA County) LPARiverside LPASacramento LSASan Diego LSASan Fernando Valley LSASan Francisco LPASan Gabriel Valley LSASan Mateo County LPASanta Clara County LPASanta Cruz County LPASanta Maria LPAStanislaus County LPAStockton-San Joaquin County LPATrinity County LSAMember at Large (MAL)Name(Required) First Last Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email(Required) Phone(Required)Total Payment Options By credit card using this form By check or cash at the door A reservation made is a reservation paid!" Credit Card Price Price: Includes $2.00 convenience fee.Cash or Check Price Price: Credit CardCard Details Cardholder Name CAPTCHA
