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*
First Name:
*
Last Name:
*
Email Address:
*
Day:
1
2
3
4
5
6
7
8
9
10
11
12
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15
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17
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19
20
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31
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Month:
January
February
March
April
May
June
July
August
September
October
November
December
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Year:
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
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1995
1994
1993
1992
1991
1990
1989
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1987
1986
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1984
1983
1982
1981
1980
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1975
1974
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1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
1919
*
Are you a member?:
Yes
No
*
Will someone be attending on your behalf?:
Yes
No
If so, name of person attending on your behalf:
What type of meal do you or person attending on your behalf prefer?:
Regular
Vegetarian
*
Will you be bringing a guest?:
Yes
No
The fee for guests is 50 dollars each. Click below to pay with a credit card. You may also pay at the door – checks only. Checks should be payable to NMEPC.
Guest 1 Name:
Guest 1 meal preference:
Regular
Vegetarian
Guest 2 Name:
Guest 2 meal preference:
Regular
Vegetarian
Guest 3 Name:
Guest 3 meal preference:
Regular
Vegetarian
Please click here to pay for your guests online.