Jack London Service Awards 2025 (RSVP for Luncheon Guests)

Please have one person make the reservation and payment for all of the additional guests from your branch who will be attending the luncheon. The form below is ONLY to reserve and pay for additional guests. If you are a Jack London Service Award honoree, please follow the instructions in the printed invitation that was mailed to you.

The entrée choices are:

• Grilled chicken breast
• Beef tri-tip
• Vegetable Napoleon

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Name of Person Filling Out This Form *

First

Last

Email *

Email of the person filling out this form.

Number of guests *

Name(s) of guests *

You may enter as many names as necessary, but the number of names should match the number of guests listed above.

Number of grilled chicken breast entrées:

Number of beef tri-tip entrées:

Number of vegetarian entrées:

Payment *

• I will pay $35 per guest via credit card or PayPal.

Submit