ECN Christmas Banquet 2022
Please fill out this form and click submit.
ECN Christmas Banquet 2022
Event Date and Time:
Sunday, December 18, 2022
6:00PM - 8:00PM
Location:
998 Dunlap Roddey Rd.
Rock Hill, SC, 29730
*If you our someone you are registering has a food allergy please be sure to let us know by emailing us at office@emmanuelnazarene.org.
Need additional information?
Call our church office at 803-328-2134 or email us at office@emmanuelnazarene.org
Adult 1
Name
*
Email
*
This address will receive a confirmation email
Phone
*
Address
*
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DE
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MH
MI
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MO
MP
MS
MT
NB
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ND
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NH
NJ
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NM
NS
NT
NU
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OH
OK
ON
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PA
PE
PR
PW
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Payment
$15.00
Guest / Adult 2
Name
Payment (adults $15 each)
Guest / Child #1
Child Name
*
Payment (kids under 10 are $5; over age 10 are $15)
Guest / Child #2
Child Name
Payment (kids under 10 are $5; over age 10 are $15)
Guest / Child #3
Child Name
Payment (kids under 10 are $5; over age 10 are $15)
Guest / Child #4
Child Name
Payment (kids under 10 are $5; over age 10 are $15)
Guest / Child #5
Child Name
Payment (kids under 10 are $5; over age 10 are $15)
Credit/Debit Card Number
Expiration Date/CVC
Name on Card
Card Billing Address
AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Submit
Description
Please fill out this form and click submit.
ECN Christmas Banquet 2022
Event Date and Time:
Sunday, December 18, 2022
6:00PM - 8:00PM
Location:
998 Dunlap Roddey Rd.
Rock Hill, SC, 29730
*If you our someone you are registering has a food allergy please be sure to let us know by emailing us at office@emmanuelnazarene.org.
Need additional information?
Call our church office at 803-328-2134 or email us at office@emmanuelnazarene.org
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