ArtBreak Registration Form

Note: Lunch orders cannot be processed after 5PM the day before a scheduled ArtBreak.

Name*
Prefix First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Phone*
Email*
ArtBreak Session
Guest Names
M&G Members: without lunch purchase
Member Attendance is Free!
- RSVP Here
M&G Member: with lunch purchase
Price: $8.00 Quantity:
M&G non-Member: without lunch purchase
Price: $5.00 Quantity:
M&G non-Member: with lunch purchase
Price: $12.00 Quantity:
Entree Choices from Buttercream Bakehouse:
- Chicken Salad Croissant: w/ pecans & cranberries on a whole grain croissant (lettuce & tomato on request)
- Greek Salad: spring mix, tomatoes, cucumbers, feta cheese, kalamata olives, red onions, dressing (includes croissant & cupcake)
- Chicken BLT: chicken, bacon, lettuce, tomato, provolone & mayo on croissant
- Club Sandwich: turkey, ham, bacon, Swiss, lettuce, tomato & mayo on pretzel roll
- Beef Tenderloin Sandwich: horseradish cheddar, cucumbers, lettuce, tomato, & blossom sauce on a baguette
Side Choice (for sandwiches only; salads include a croissant on the side; all meals include a cupcake or a cookie)
- Chips
- German potato salad
- Black bean and corn salad
Total
$0.00
Credit Card

American Express
Discover
MasterCard
Visa
Card Number Expiration Date Security Code Cardholder Name
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