TCP Line Dancing Potluck Fundraiser - Cook Entry FORM

December 6 3:00 PM – 7:00 PM | Whether it's your signature dish or a store brought favorite, main dish, side dish, desserts, or beverage! Show us what you got. Please let us know what you plan to bring so we can make sure there is a good mix.

Name

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Email

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This address will receive a confirmation email

Entry

1 Person ($20) Custom (Cash)

Amount

What do you plan to bring

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Please select one option.

Main Dish Side Dish Dessert Beverage

Dietary Restrictions

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Please select one option.

Vegan Vegetarian Gluten - free Contains meat

Name of your Dish

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Due to food allergies please list the ingredients for your dish below.

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Credit/Debit Card Number

Expiration Date/CVC

Name on Card

Card Billing Address

Description

December 6 3:00 PM – 7:00 PM

Whether it's your signature dish or a store brought favorite, main dish, side dish, desserts, or beverage! Show us what you got. Please let us know what you plan to bring so we can make sure there is a good mix.

Please Fix the Following

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