Division Installation

Greater Portland Area Installation Dinner

Club Officer and Lt. Governor Installation

Name

First Last

Phone

Club Name

$30 – Includes choice of entree and gratuity. Drinks are not included.

Entree Choice

Please indicate your choice of entree.

Pollo Asado

Veggie Bowl

Carne Asada

Pork Carnitas

Total

Payment Method

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name

	July 2026
Mon	Tue	Wed	Thu	Fri	Sat	Sun
		1	2	3	4	5
6	7	8	9	10 Monthly Club Reports Due Monthly Club Reports Due July 10, 2026 See more details •	11	12
13	14	15	16	17	18	19
20	21	22	23	24	25	26
27	28	29	30	31