Yes, I would like to attend. Please reserve seats at $50/person.

I will pay a total of $

I would like to sponsor a seat for a Shelter House resident. Enclosed is $50

I am unable to attend but wish to make a donation to Safe Avenues

Enclosed is my gift of $

Attendees:

Name: Entree: [Please Choose One] Turkey Cordon Blue Prime Rib Cut Pork Vegetable Lasagna

• *Some attendees may wish to have a group of up to eight people sit together. If this applies to your group, identify the table host for your group/table and enter his/her name in the Table Host registration blank above.
• At the Gala, name cards for all attendees on this registration submission will be placed at the table that corresponds to the designated Table Host.
• If you are part of a group that is larger than eight people, you will need to designate one Table Host for each full or partial table that people in your group will occupy.