Global Forum - Regional Dinner - Reservation

* required information
Dinner at Ping Pong Dim Sum Restaurant 
Information
First Name:*
Last Name:*
Email:*
Address Line 1:*
Address Line 2:
City:*
State:*
ZIP/Postal Code:*
Phone:
Gender: Female   Male  
Payment
$50.00 Prix Fixe Menu
Inclusive of all food costs. Beverages are extra and at your discretion.
Quantity:*
Total Cost: $
Additional Information
Guest 1 - Name:
Guest 2 - Name:
Guest 3 - Name:
Guest 4 - Name:
Comments:
When you click submit, you will be taken to a page where you can fill out your credit card information or send in a check. Once you finalize this, a confirmation e-mail will be sent to you. We look forward to seeing you at the Global Forum!

Global Forum