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The form below is for Online Payment only, if you would like to send checks, make checks payable to:
Iowa Service Academies Foundation
and send to:
Kristi Traynor
12520 Horton Ave
Urbandale, IA 50323
Cadet/Midshipman's Name
First
Last
Class Year
Academy
Hometown
Phone
Current Cadets/Mids At No Charge/Person
Entrée Preference
Cast Iron Seared Herb Garlic Iowa Pork Chop
Chicken Parmesan
Crispy Eggplant Parmesan
Email Address
*
Number of Attendees (not including Cadets/Mids)
*
Please enter a number from
0
to
20
.
Please list the name(s) of the person(s) who will be seated with your Cadet/Midshipman with their entrée preference as well (one per line)
Special seating requests will be considered as possible. Type one Guest per one line above.
Number of Cadets/Mids
*
Please list names of Cadets/Mids (one per line)
Number of Attendees
1 Attendee - $60.00
2 Attendees - $120.00
3 Attendees - $180.00
4 Attendees - $240.00
5 Attendees - $300.00
6 Attendees - $360.00
7 Attendees - $420.00
8 Attendees - $480.00
9 Attendees - $540.00
10 Attendees - $600.00
11 Attendees - $660.00
12 Attendees - $720.00
13 Attendees - $780.00
14 Attendees - $840.00
15 Attendees - $900.00
16 Attendees - $960.00
17 Attendees - $1,020.00
18 Attendees - $1,080.00
19 Attendees - $1,140.00
20 Attendees - $1,200.00
Sponsor a Cadet/Mid
Total Amount
$0.00
Credit Card
*
American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number
Month
01
02
03
04
05
06
07
08
09
10
11
12
Year
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
Expiration Date
Security Code
Cardholder Name
Coupon
Comments
This field is for validation purposes and should be left unchanged.
