Catfish Registration

2012 CATFISH DINNER TABLE HOST FORM

If you would like to register to host a table, please complete the form below.

Please be sure to indicate in the the Message Box how many tables you will host.

Thank you for your support!

Click Edit Form to add form elements. You can enter a form description and instructions here.

	I would like to host table(s) on Thursday night, March 29, 2012
	I would like to host table(s) on Friday night, March 30, 2012
First Name:
Last Name:
Address:
City:
State:
Zip Code:
Phone Number:
Email:
Congregation:
Message:

Catfish Dinner Table Host Quick Facts

Each table seats 8

There is no cover charge to host a table

Funds raised go to sponsor NICM's summer leadership programs

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