Couples Night Out

© 2010 Orange Friends Church ▪ 3467 East Orange Road ▪ Lewis Center, Ohio 43035 ▪ (740) 548-5819

Rev. 3/21/10

Couples Night Out

An Evening of Dessert and Music

Come enjoy various desserts, a chocolate fountain and entertainment provided by the vocal ensemble “New Visions” from Malone University. Cost is $10/couple. The event will be held in the OFC Family Life Center. Register by Wednesday, February 24th.

February 27

7:00 – 9:00 P.M.

Name*

E-mail Address*

Address (Line 1)*

Address (Line 2)

City*

State*

Zip Code*

Phone Number*

Payment Method*

Comments:

**If you wish to pay securely online with a credit or debit card, please click on the PayPal button BEFORE clicking on the “Submit Registration” button below.

Registration is due by

Wednesday February 24, 2010

The registration fee is

$10 per couple

If paying by check,

please make check payable to:

Orange Friends Church

3467 East Orange Road

Lewis Center, Ohio 43035

Please fill in the information requested below and then click on the “Submit” button.
Please note that information marked with an asterisk (*) is required information.