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BEER DINNER REGISTRATION 2022

BJ's Lafayette
4511 Ambassador Caffery Pkwy
Lafayette, LA 70508
337-761-6300
Event Date & Time:
Monday, December 5, 2022 6:30 PM

$50.00 Per Guest ($35.00 For Food, $15.00 For Alcohol)
$35.00 Per Designated Driver (Food Only)
Guest Info
Number of Guests (Eating & Drinking):
($50.00 Per Guest, 20 Seats Left)
Reservation Name:
Email Address:
Phone Number:
Designated Drivers (Eating Only): 0
Payment Info
Subtotal: $50.00 ($35.00 Food, $15.00 Alcohol)
Tax: $4.23 ($2.96 Food, $1.27 Alcohol)
Tip: (0%)
Total Due: $54.23
Credit Card Number:
Expiration:
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All Fields Are Required. Each booking must be under $500. If booking are needed that exceed the $500 limit, please use multiple transactions and keep each transaction under $500.

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