LHRC " A Night of Sustaining Recovery Gala" Registration form

Liberty House Recovery Cafe

"A Night of Sustaining Recovery"
Liberty House Recovery Cafe Fundraiser Gala

Theme: Sustaining Recovery
Date: May 24, 2024
Time:5:30 PM - 9:00 PM

Location:

The Chateau Banquet Hall

530 W. 61st Ave.

Merrillville, IN 46410

The central theme is "Sustaining Recovery." We aim to explore the meaning of recovery, its manifestations, and collective strategies for its sustainability.
Sponsorship Levels Choose one

Good Neighbor Sponsor: - $10, 000Hello Neighbor Sponsor: - $7,500Be My Neighbor Sponsor: - $5,000Way to Go Neighbor Sponsor: - $3,500
Method of payment *

CardCheckCashapp - $Libertyhousecafe

Ticket Options

Event tickets$100.00

Business Package$250.00

CHECKS mail to:

Liberty House Recovery Cafe

P.O. Box 509, Portage, IN 46368

ACH Payment reach out to Carol Pirtle: 219.315.0553

AD BOOK: Ad Book specs and pricing

Upon your purchase, you will automatically be registered for the Gala. Check your email for receipt.
Organization Name
Names of attendees
Group contact

First NameLast Name
Email
example@example.com
Phone Number

Area CodePhone Number
Please indicate the number of guests who have specific dietary restrictions by circling and adding the total count next to the appropriate category:

*
No Dietary Restrictions
Vegetarian Diet
Vegan Diet
Kosher Diet
Gluten-Free Diet
Other Dietary Restrictions (Please specify):
* I understand the event I am registering for may be photographed or recorded, and I permit LHRC to use my name and likeness as captured in either case.
Should be Empty:

Liberty House Recovery Cafe