Thursday Picnic @15 May 17th, 2025

Free

1- $15 2-$30 3-$45 4-$60 5-$75 No

Club Name	*
District	*
First and Last Name 1	*
Title 1	LionLeoSpouseGuest *
Pick your Entree	Crispy Panko ChickenHoney Lacquered SalmonGluten Sensitive Honey Lacquered SalmonVegetarian *
First and Last Name 2
Title 2	LionLeoSpouseGuest
Pick your Entree 2	Crispy Panko ChickenHoney Lacquered SalmonGluten Sensitive Honey Lacquered SalmonVegetarian
Address	*
City/State/Zip	*
Phone	*
Email	*
Is this your first MD Convention?	NoYes *
How many years have you been a Lion's member?	*
Please Note any special needs (i.e, deaf interpreters, dietary restrictions, food allergies, etc.)	*
How many are going to Thursday Bus Trip to Krzysiak's Polish Rest.	No12345678910 *

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