Meeting Registration

Next Meeting

MONDAY December 11, 2023 Dinner Meeting

Speaker:

Tom Doe, Hiking Cougar Mountain During COVID Times

Program Dinner Information:

5:30 pm – No-host Social Hour
6:30 pm – Buffet Dinner (reservation required)
7:30 pm – Speaker Program

Dinner Menu:

• Prime Rib (DF, GF)
• Seafood Risotto (DF, GF)
• Roasted Winter Vegetables (DF, GF, VEGAN)
• Baked Potato Salad (DF, GF, VEGAN)
• Holiday Field roast (VEGAN)
• Garden Salad with assorted dressings (Vegetarian, VEGAN, GF)
• Focaccia (Vegetarian, DF)
• Dessert

Registration:

Name *

First

Last

Phone *

Email *

Number of Attendees *

Enter the number of people you are registering for, up to 10

Attendee 1 *

• Talk-only - $ 10.00
• Student Dinner - $ 10.00
• Member Dinner - $ 40.00
• Non-Member Dinner - $ 50.00

Attendee 2 *

• Talk-only - $ 10.00
• Student Dinner - $ 10.00
• Member Dinner - $ 40.00
• Non-Member Dinner - $ 50.00

Attendee 3 *

• Talk-only - $ 10.00
• Student Dinner - $ 10.00
• Member Dinner - $ 40.00
• Non-Member Dinner - $ 50.00

Attendee 4 *

• Talk-only - $ 10.00
• Student Dinner - $ 10.00
• Member Dinner - $ 40.00
• Non-Member Dinner - $ 50.00

Attendee 5 *

• Talk-only - $ 10.00
• Student Dinner - $ 10.00
• Member Dinner - $ 40.00
• Non-Member Dinner - $ 50.00

Attendee 6 *

• Talk-only - $ 10.00
• Student Dinner - $ 10.00
• Member Dinner - $ 40.00
• Non-Member Dinner - $ 50.00

Attendee 7 *

• Talk-only - $ 10.00
• Student Dinner - $ 10.00
• Member Dinner - $ 40.00
• Non-Member Dinner - $ 50.00

Attendee 8 *

• Talk-only - $ 10.00
• Student Dinner - $ 10.00
• Member Dinner - $ 40.00
• Non-Member Dinner - $ 50.00

Attendee 9 *

• Talk-only - $ 10.00
• Student Dinner - $ 10.00
• Member Dinner - $ 40.00
• Non-Member Dinner - $ 50.00

Attendee 10 *

• Talk-only - $ 10.00
• Student Dinner - $ 10.00
• Member Dinner - $ 40.00
• Non-Member Dinner - $ 50.00

Guest List and Dietary Restrictions

Total Amount

$ 0.00

Payment Option *

• Check/Cash
• Credit Card via Stripe

If you choose to pay by check or cash, you can bring payment to the door, or mail it to our box: Northwest Geological Society 4616 25th Avenue NE #397 Seattle, WA 98105

Billing Address

Address Line 1

City

State / Province / Region

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Please register for up to 10 people. If registering for more than 1 person, select the number of people first, and the fields will appear for the additional attendees. Please make sure to designate any dietary requests and include names for those you register for.