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PAY by CHECK - RSVP FORM


Event: Pine Ridge Civic Association’s ​Annual Dinner Meeting 

Location: Brion’s Grille  (10621 Braddock Rd, Fairfax VA)

Date:  Thursday, May 3, 2018


Dinner:   6:30 TO  9 PM

Vote:       8:00 PM (quick vote for the board)
Cost:       $15 / Adult     |     $8 / child 4 - 11     |      3 and Under Free 


Number of Adults​                      X  $15   =                                        


Number of Kids     =                        X  $  8   =                                        


Number of Kids 3 and Under (free) =                                                  


                                                                                                                    

TOTALS      =           Total # Attending     and       Total Amount DUE
                              

RSVP by April 30 and PAY ONLINE:

How many Adults and Children
How many children 3 and under:
Name:
Address

The Pine Ridge Civic Association’s 
​Annual Dinner Meeting


Brion’s Grille  (10621 Braddock Rd, Fairfax VA)

Thursday, May 3, 2018


Cost:  $15 / Adult   |   $8 / child 4 - 11   |   3 and Under Free
There is a small PayPal convenience fee included ($1/adult and 50¢/child) for online payments.


Dinner:   6:30 TO  9 PM
Vote:       8:00 PM (quick vote for the board)


Hot Dinner Buffet Includes: Mardi Gras Chicken, Sausage & Peppers, Beef Stroganoff, Spinach Risotto, Mashed Potatoes & Gravy, Vegetables, Garden Salad
and Dessert plus Soda, Water, Tea and Coffee



Brions Grille Website (PRCA will be serving a limited menu)

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RSVP and Pay by Check:

Please print this page to use this 
​PAY by CHECK - RSVP FORM and

MAIL your check for the full amount due to:


Michelle Gildea
3227 Wynford Drive
​Fairfax VA 22031

RSVP and PAYMENT
Must be received

by

April  30, 2018