Kentucky Derby Dinner

Date/Time
Date(s) - 05/04/2024
5:00 pm-8:00 pm

Location
Sons of Italy Myrtle Beach Lodge 2662
7957 Moss Creek Road, Myrtle Beach, SC
Directions

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Kentucky Derby Dinner

Name on Credit Card
First Last
Number in Party (if 6 or more, list names for table reservation)
Add everyone's dinner selection with name.
Guest #1 Dinner Selection
Guest #2 Dinner Selection
Credit Card # or Lodge Credit Card #

Expiration Date

Security Code

Zip Code (of credit card bill)
Phone
Email
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