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Name of Person Making Reservations*

Business / Organization Name:

Address

City

State

ZIP Code

Phone*

(xxx) xxx-xxxx

Email*

Reservation Information

Tickets are $275 each if purchased before 5 p.m. on Friday, April 29. After April 29, ticket will be $300 each.

Each ticket includes dinner for 2 civilians to host 2 military guests).
NOTE: If two or more tickets are purchased, businesses will be automatically be recognized as table sponsors.

How many tickets would you like to purchase?

1 Ticket = 2 Civilian Guests to Host 2 Military Guests2 Tickets = 4 Civilian Guests to Host 4 Military Guests3 Tickets = 6 Civilian Guests to Host 6 Military Guests4 Tickets = 8 Civilian Guests to Host 8 Military GuestsI am unable to attend the banquet, but would like to donate a ticket(s).

Civilian Name #1 *

Meal Choice

Civilian Name #2*

Meal Choice

Civilian Name #3*

Meal Choice

Civilian Name #4*

Meal Choice

Civilian Name #5*

Meal Choice

Civilian Name #6*

Meal Choice

Civilian Name #7*

Meal Choice

Civilian Name #8*

Meal Choice

Please indicate the number of tickets you would like to donate:

1 Ticket = 4 people ($260)2 Tickets = 8 people ($520)3 Tickets = 12 people ($780)4 Tickets = 16 people ($1,040)

Special Requests/Additional Notes

Payment Options

Pay by Credit CardInvoice Me - Proud Chamber Member

My Products

Banquet Tickets: $275/each. Each ticket is for 2 civilians, 2 military guests$275.00

How many total tickets will you be purchasing or donating?

Total $0.00

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Sponsorship Information