2024 Luncheon Reservations Contact Name*(Person completing this form) First Last Contact Phone*Contact Email* Attending in honor ofList "WOA" if you are a past honoree. I am a Woman of Achievement, class of Seats are $60 each. A full table consists 8 seats. You may purchase up to 8 seats per reservation form. Price: Number of seats*Please enter a number from 1 to 8.Seat #1 Reservation Name* First Last Seat #1 Menu Selection* Beef Entree Vegetarian Gluten Free For additional dietary restrictions, please add to "special requests" at the bottom of this form. Seat #2 Reservation Name* First Last Seat #2 Menu Selection* Beef Entree Vegetarian Gluten Free For additional dietary restrictions, please add to "special requests" at the bottom of this form. Seat #3 Reservation Name* First Last Seat #3 Menu Selection* Beef Entree Vegetarian Gluten Free For additional dietary restrictions, please add to "special requests" at the bottom of this form. Seat #4 Reservation Name* First Last Seat #4 Menu Selection* Beef Entree Vegetarian Gluten Free For additional dietary restrictions, please add to "special requests" at the bottom of this form. Seat #5 Reservation Name* First Last Seat #5 Menu Selection* Beef Entree Vegetarian Gluten Free For additional dietary restrictions, please add to "special requests" at the bottom of this form. Seat #6 Reservation Name* First Last Seat #6 Menu Selection* Beef Entree Vegetarian Gluten Free For additional dietary restrictions, please add to "special requests" at the bottom of this form. Seat #7 Reservation Name* First Last Seat #7 Menu Selection* Beef Entree Vegetarian Gluten Free For additional dietary restrictions, please add to "special requests" at the bottom of this form. Seat #8 Reservation Name* First Last Seat #8 Menu Selection* Beef entree Vegetarian Gluten Free For additional dietary restrictions, please add to "special requests" at the bottom of this form. Please list special dietary and/or seating requests here: Please contact me about sponsorship opportunities. I would like to make a donation to Women of Achievement in the amount of In Honor of In Memory of Name Please notifyWould you like to help cover credit card processing fees? Yes, add 3% to my amount. Thank you for helping to cover credit card processing fees. Price: $ 0.00 Total amount to be charged. $ 0.00 Credit Card American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Month010203040506070809101112 Year20242025202620272028202920302031203220332034203520362037203820392040204120422043 Expiration Date Security Code Cardholder Name Refund Policy* I understand if I have any questions about payment or need a refund, I will contact woastlouis@gmail.com.