I will attend the Maundy Thursday meal and service on April 2 at 6:00 pm.

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Name

*

Email

*

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# of adults eating

*

Please select one option.

1 2 3 4

# of school-aged youth eating

*

Please select one option.

1 2 3 4

Payment

Adult ($8) School-aged youth ($5) pay at event ( 0) paying for multiple people

Amount

Credit/Debit Card Number

Expiration Date/CVC

Name on Card

Card Billing Address

Description

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