Missions Week Kickoff Dinner (Wed. Mar. 4, 2026)
Wed. March, 5:00pm | Please fill out this form and click submit. We look forward to seeing you there.
Adult $5
Children $3
Name
*
Chili (Adult, ages 7+)
1 Adult ($5)
2 Adults ($10)
3 Adults ($15)
4 Adults ($20)
Pay in Person (enter count below) ($0)
1 Adult ($5)
2 Adults ($10)
3 Adults ($15)
4 Adults ($20)
Pay in Person (enter count below) ($0)
Amount
Chili (Kids ages 3-6)
None (0)
1 Child ($3)
2 Children ($6)
3 Children ($9)
4 Children ($12)
Pay in Person (enter count below) (0)
None (0)
1 Child ($3)
2 Children ($6)
3 Children ($9)
4 Children ($12)
Pay in Person (enter count below) (0)
Amount
All above chili orders should be
*
Please select one option.
with meat
vegetarian
mixed (specify below)
If you answered "mixed" how many of your orders are meat and how many are vegetarian?
Paying In-Person Head Count (only fill out if you are NOT paying online)
Adults (age 7+)
Please select one option.
Zero
1
2
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4
5
6
7
8
9
10
Select Option
Zero
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3
4
5
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7
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9
10
Children (ages 3-6)
Please select one option.
Zero
1
2
3
4
5
6
7
8
9
10
Select Option
Zero
1
2
3
4
5
6
7
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9
10
Paying Online (enter payment information below)
Credit/Debit Card Number
Expiration Date/CVC
Name on Card
Card Billing Address
AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
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MO
MP
MS
MT
NB
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NH
NJ
NL
NM
NS
NT
NU
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NY
OH
OK
ON
OR
PA
PE
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VA
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Submit
Description
Wed. March, 5:00pm
Please fill out this form and click submit. We look forward to seeing you there.
Adult $5
Children $3
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