NTDS Awards Night June 2024 Registration

NTDS Honours & Awards Dinner Registration

June 24, 2024

Bayview Country Club

Name*

Prefix

First Name

Last Name

Phone*

Email*

Select Your Meal Preference*

Grilled Beef Tenderloin, Peppercorn Jus Pan Seared and Roasted Salmon Filet Roasted Vegetable Wellington, Balsamic-marinated Vegetables Baked in a Puff Pastry Kosher Meal: Chicken Kosher Meal: Salmon

Do you have any dietary allergies?*

Yes No

Please list your dietary allergies.

Are you an Honouree?*

Yes No

Please Select the Years of Recognition*

Will you be bringing a guest?*

Yes No

Member spouses cost is $70 non-refundable.

Name of guest

First Name

Last Name

Select Your Guest's Meal Preference. *

Grilled Beef Tenderloin, Peppercorn Jus Pan Seared and Roasted Salmon Filet Roasted Vegetable Wellington, Balsamic-marinated Vegetables Baked in a Puff Pastry Kosher Meal: Chicken Kosher Meal: Salmon

Do your guest have any dietary allergies?

Yes No

Please list your guest's dietary allergies.

Method of Payment (for GUESTS only)

Cheque made payable to : North Toronto Dental Society. Mail to NTDS , 14 Kings College Road, Thornhill, ON L3T 5J6 E-transfer to ntdsevents@gmail.com (preferred)