Steak Night Form 2023 Steak Night sign up form 2023 "*" indicates required fields Date MM slash DD slash YYYY Name of Member Attending*Enter the name of the person who should be contacted regarding any questions. First Last Name of Member Attending First Last Email Phone*Member Steak Night Meal(s) Quantity* Price: $43.35 Quantity Includes tax (Please enter the amount of meals you would like to order. For example 2 would be the quantity if two members are attending.) Guest(s) Name: Guest(s) are permitted must be accompanied with a member. Guest(s) Name: Guest(s) are permitted must be accompanied with a member. Guest Steak Night Meal(s) Quantity Price: $43.35 Quantity Includes tax (Please enter the amount of meals you would like to order. For example 2 would be the quantity if two guests are attending.) Credit Card American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Month Month010203040506070809101112 Year Year20232024202520262027202820292030203120322033203420352036203720382039204020412042 Security Code Cardholder Name Convenience Fee* Price: Total Pay by Check Pay by check Members can also pay by check. Checks can be made out to PRNSC $43.35 per person. Checks can be dropped off at the main desk. There is no convenience fee if paying by check. CAPTCHACommentsThis field is for validation purposes and should be left unchanged.