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Dining Room Experience Form

Due November 1, 2018

I will donate the agreed upon goods/services for Great Chefs & Wineries 2019 *
CONTACT NAME *
CONTACT NAME
PHONE NUMBER *
PHONE NUMBER
BUSINESS LOGO *
Check all that apply. Please email logos to Jennifer Waight, jwaight@lifehouseagency.org
Has your life been touched by someone with a developmental disability? If so, please share your story.
Please list the goods or services that you will be providing for the Dining Room Experience at Great Chefs & Wineries