Annual Luncheon Registration Form

Attendee Information

First Name

Last Name

Organization (if applicable)

Email Address

Phone Number

Are you attending the luncheon?

YesNo, I'm registering someone else

Contact Name

Contact email

Additional Attendees

Please enter the additional names of those attending and sitting at your table.

If you do not have this information now, please email the list to Megan Peel at [email protected] by March 20, 2026.

Attendee First Name

Attendee Last Name

Email

Attendee First Name

Attendee Last Name

Email

Attendee First Name

Attendee Last Name

Email

Attendee First Name

Attendee Last Name

Email

Attendee First Name

Attendee Last Name

Email

Attendee First Name

Attendee Last Name

Email

Attendee First Name

Attendee Last Name

Email

Payment information

Choose Ticket or Sponsorship

Number of seats

Per Seat Amount Owed

Sponsor Amount Owed

Payment Type

Paying by check

Payment must be received by March 16, 2026.

Make check payable to: Lacasa, Inc.

Mail to:
Lacasa, Inc.
202 N. Cottage Avenue
Goshen, IN 46528
Attn: Megan Peel

Paying by Invoice

Name

Email address for invoice

Address

City

State

Zip

Payment must be received by March 16, 2026.

Make check payable to: Lacasa, Inc.

Mail to:
Lacasa, Inc.
202 N. Cottage Avenue
Goshen, IN 46528
Attn: Megan Peel

Paying by Credit Card

Payment is due upon registration. A PayPal link will be send to the email address below.

Send Credit Card Payment link to this email

Annual Luncheon Registration Form

Lacasa Annual Luncheon

Attendee Information

Additional Attendees

Payment information

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