Luncheon & Celebration
Thursday, November 2, 2017

Norfolk Hilton The Main
100 Main Street

Registration 11 am 

Luncheon 11:30 a.m. - 1 p.m.

Lunch options:
(choose one)

Caesar Salad with Grilled Chicken

Vegetarian Option-Caesar Salad with Grilled Tofu 

Early bird price $40 by October 20, after is $50

  To honor your favorite Girl Scout with a contribution in her name, click here.    

For event details or to become a sponsor, contact Stacy Nixon at  757-549-0641. 

 

Adult Ticket Purchase:
Amount:	One (1) Ticket $ 50.00 Two (2) Tickets $ 100.00 Three (3) Tickets $ 150.00 Four (4) Tickets $ 200.00 Five (5) Tickets $ 250.00 Six (6) Tickets $ 300.00 Seven (7) Tickets $ 350.00 Reserved Table of 8 for friends and associates $ 1,000.00 $     *
Additional Information
Frequency:	Weekly Monthly Quarterly Annually On:   Sunday Monday Tuesday Wednesday Thursday Friday Saturday Starting:    Ending:   Ending:
Corporate:	This purchase is on behalf of a company
Guest Name(s) and Lunch selection:
Billing Information
Title:	Admiral Ambassador Brig. Gen.(Ret) Brother Capt. Captain CDR CDR & Mrs Chief and Mrs. Cmdr. Col. Colonel & Mrs Dame Delegate Deputy Dr. Dr. and Mrs. Drs. Father General GMC Ret. Governor Judge LCDR Lt. Lt. Col. LTC LtFG. Ltjg. Madam Major Major General Master Mayor Miss MMCS/SS Mr. Mr. and Mrs. Mrs. Ms. Pastor Prof. Rabbi Reverend Senator Sgt. Sheriff Sir Sir/Madam Sister The Honorable Vice Mayor Vice President CMDCM SMSgt Rev. Lt. Gov. Dr The Colonel Ms . LT CPA
First name:		*
Last name:		*
Country:	United States United Kingdom	*
Address lines:		*
City:		*
State:	<Please Select> AA AE AL AK AB AS AP AZ AR BC CA CZ CO CT DE DC FM FL GA GU HI ID IL IN IA KS KY LA ME MB MH MD MA MI MN MS MO MT NE NV NB NH NJ NM NY NL NC ND MP NT NS NU OH OK ON OR PW PA PE PR QC RI SK SC SD TN TX UT VT VI VA WA WV WI WY YT DN	*
ZIP:		*
Phone:		*
Email:		*
Payment Information
Cardholder's Name:		*
Credit Card Number:		*
Card Type:	Visa American Express Discover MasterCard	*
Card Expiration:	01 02 03 04 05 06 07 08 09 10 11 12  / 2018 2019 2020 2021 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032	*
Card Security Code:		*