PNA 100th Anniversary gala

PNA 100th Anniversary Gala Registration – Early Bird Discount

Early bird registration for PNA’s 100th Anniversary Gala is $150 through Sept. 30. Beginning Oct 1, registration will be $200. Please complete all required fields, including meal choice. If applicable, complete the guest’s name and guest’s meal choice. PLEASE NOTE: If you are a PNA Hall of Fame Inductee and their guest, please be sure to register using the Hall of Famer Registration Form.

Registrant's Name(Required)

First Last

Email for confirmation(Required)

Meal choice (please select one):(Required)

Chicken Oscar (Seared Chicken Breast, Lump Crab Mix, Asparagus with Herb Hollandaise, Garlic Mashed Potatoes)

Beef Filet (Garlic Mashed Potatoes, Seasonal Vegetable, Red Wine Demi Glace)

Vegetarian Option: Baked Ratatouille (Tomato Rice, Balsamic Glace)

GUEST of Registrant

First Last

Guest's meal choice (please select one):

Chicken Oscar (Seared Chicken Breast, Lump Crab Mix, Asparagus with Herb Hollandaise, Garlic Mashed Potatoes)

Beef Filet (Garlic Mashed Potatoes, Seasonal Vegetable, Red Wine Demi Glace)

Vegetarian Option: Baked Ratatouille (Tomato Rice, Balsamic Glace)

Total Registrations (Required)

Price: $150.00

Mailing Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Please share any dietary restrictions below:

Credit Card

American Express

MasterCard

Visa

Card Number

Expiration Date

Security Code Cardholder Name

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PNA 100th Anniversary Gala Registration – Early Bird Discount

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