Registration

Des Moines Area Luncheon/Speaker Series

Please join us on TBD for a special presentation. The event begins with a buffet-style luncheon at 11:30 a.m. and the program begins at noon. Cost is $15 per person. Please register by TBD.

* = required field

Current Name:*
Class Year:
Graduation Name:
Preferred First Name:
Home Address:*
Home City:*
Home State:*
Home Phone/Cell Phone:
Employer/Occupation:
Work Phone:
Your Email:*
Please indicate any special meal preferences
Comments:
Spouse/Guest Information
Spouse/Guest Name:
Attended Luther?
Class Year or Years Attended:
Please indicate any special meal preferences
Comments:
Payment Amount*

Payment Method

Name as it appears on card*
Credit Card Number*
Credit Card Type*
Expiration mm/yyyy*
Security Code*