Bluebonnet ExxonMobil Retiree Club
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Registration for Thursday, June 5th Luncheon at Bentwater Country Club (and/or membership dues if needed)
Retiree/Spouse Name(s)
*
Guest Name(s) if any
How many persons will be attending in your party?
*
0
1
2
3
4
5 or more
Do you need a ride to the luncheon?
*
Yes
No
Any dietary restrictions? (please specify)
Member (and 1st time EM Retiree) luncheon(s)?
*
0 Member Luncheons – $ 0.00
1 Member Luncheon – $ 16.00
2 Member Luncheons – $ 32.00
3 Member Luncheons – $ 48.00
4 Member Luncheons – $ 64.00
Guest Luncheon(s)?
0 Guest Luncheons – $ 0.00
1 Guest Luncheon – $ 32.00
2 Guest Luncheons – $ 64.00
3 Guest Luncheons – $ 96.00
4 Guest Luncheons – $ 128.00
Membership Dues ($10 per retiree or spouse)
0 Membership Dues – $ 0.00
1 Retiree only – $ 10.00
2 Retiree + spouse – $ 20.00
Total
$ 0.00
How will you pay for the luncheon/dues?
*
via PayPal -> please use the PayPal app on your phone or computer to send money to @BEMRCLunch (changed!) as a “Friends and Family” transfer (see newsletter for details)
Paper check or via Bank Bill Pay service -> mail check (Make check payable to: BEMRC; Send to: PO BOX 522, Conroe, TX 77305-0522)
Payment is a TWO STEP PROCESS:
Press the submit button below and then pay either with PayPal or by check/bank bill pay service as mentioned above
Submit Registration
