Goodstein Thanksgiving Registration

Name:

Address:

City, St, Zip:

Home Phone:

Cell Phone:

Email:

Donation for Hospitality Room:

We are lodging at the farm:

Del	Name	Age	Food Type Indicate special diet needs in comments below	Thursday Dinner	Friday Dinner	Saturday Dinner

Late Fee:

Late Fee of 5% will apply to payments made after June 12

Amount Due:

$

Send payment via Zelle 713-398-6487
or

If you prefer to buy a postage stamp, please make out to Janice Rubin and mail your check to
Janice Rubin
5059 Yarwell Drive
Houston, TX 77096

Amount Paid:

Date Paid:

Method Paid:

Payment Id:

Comments, special food requests, etc.: