Early Bird & Banquet Form

MEAL CUT-OFF DATE JULY 31, 2021

Early Bird, MODD Lunch & Banquet Form

  • A variety of hot and cold appetizers. Please keep in mind this is only a reception with appetizers; it is not intended as a meal
    Price: $45.00 Quantity:
  • Sandwich, chips, salad, Cookie and Beverage
    Price: $25.00 Quantity:
  • Grand Banquet (Friday)

    Please select meal quantities below

  • Salmon Filet sauced with Garlic, Sun-Dried Tomatoes and Herbs, Rice Pilaf, Buttered Broccoli
    Price: $55.00 Quantity:
  • Grilled Chicken Breast with Tomato, Red Onion and Roasted Garlic, topped with Shredded Asiago Cheese and Drizzled with a Balsamic Reduction; Sweet Basil Risotto and Petite Green Beans
    Price: $55.00 Quantity:
  • Pork Loin glazed with a Whiskey Maplesauce and served with Asiago Whipped Potatoes and Seasoned Green Bean Blend
    Price: $55.00 Quantity:
  • Included with meals:

    Berry Field Greens – Seasonal blend of Field Greens with fresh Blackberries and Raspberries, Toasted Walnuts, and a Raspberry Vinaigrette

    Lemon Blueberry Cake – Blueberries and Lemon Curd filling between layers of cake iced with a Mascarpone frosting

    ** all entrees are gluten free **

  • $0.00
  • American Express
    Discover
    MasterCard
    Visa
     
  • *For Visa, MasterCard and Discover; please look in the signature strip on the back of your credit card. In the signature strip there are several numbers, some of which may be part of your credit card number. The last 3-digit number is your CVV card security number. For AMEX; your CVV card security number is on the front.

If sending in your payment, please print out and mail form and check to: Paymaster Mike Malmstrom, Attn: National Convention, 5107 48th St., Moline IL 61265-7516 or email to 2021ilspringfield@gmail.com . For Credit card payment or additional information, please call 1 309 269-2012.

CANCELLATION POLICY: 48 HOURS BEFORE THE START OF THE CONVENTION.
PRIVACY POLICY: NO INFORMATION WILL BE PASSED ON OR USED FOR ANYTHING OTHER THAN CHARGES.
REFUND POLICY: CHARGES WILL BE REFUNDED AT 100% THAT FOLLOW CANCELLATION POLICY.