November 2021 Event

WEDNESDAY | November 17, 2021

The Blackwell Inn

2110 Tuttle Park PL | Columbus, OH 43210

Time 6:00pm – 8:00pm

Attire: Business

Cost: $55.00 per person

Name*
First Last
Email*
Phone*
Affiliation*
Dietary Restrictions
- I have dietary restrictions
Dietary Restrictions*
Additional Guest
- Additional Guest will Attend
Number of Additional Guests*
Guest Name*
First Last
Guest Dietary Restrictions
- Guest has dietary restrictions
Guest Dietary Restrictions*
Guest 2 Name*
First Last
Guest 2 Dietary Restrictions
- Guest has dietary restrictions
Guest 2 Dietary Restrictions*
Guest 3 Name*
First Last
Guest 3 Dietary Restrictions
- Guest has dietary restrictions
Guest 3 Dietary Restrictions*
Payment*
Guest Registration Payment*
Pay Now (+1 Guest)*
Pay Now (+2 Guests)*
Pay Now (+3 Guests)*
Retired/Visiting Member*
Total
$0.00
Consent*
I hereby authorize Skal Columbus to charge my credit card for the price listed above.