Green Empowerment · Annual Benefit Dinner 2022-Host Form

Host Registration Form

Name

*

First Name

Last Name

Phone Number

*

Email Address

*

Verify Email

*

Co-host name

First Name

Last Name

Location of Watch Party

*

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Watch Party Details

Host cost covers full Watch Party Kit that includes hors d'oeuvres, dessert, wine and more!

I'm going to host a watch party for

*

$550 - 6-8 Guests

$800 - 10-12 Guests

$1,300 - 16-20 Guests

I want to serve...(choose one option)

*

Antipasto

Veggie Mezza

Combo of both!

For dessert I'd like to offer (choose one option)

*

Trio of Dessert Bars

Vegan Truffles

For refreshments

*

Please send wine to my party.

No thanks, I will provide beverages.

Delivery and Payment

How would you like to receive your watch party kit?

*

curbside pick-up will be at Vibrant Table headquarters at 2010 SE 8th Ave, Portland, OR 97214.

curbside pick-up

delivery

Would you like your delivery sent to the party location entered above?

*

Yes, the address I entered works.

No, I want food delivered to another address.

Address for Delivery

*

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Delivery Notes

Any specific instructions for delivery? (ie. leave on porch, buzz apartment number)

All orders, once paid, are non refundable.