RSVP: Masquerade of Love

1
Will you be a Sponsor for this event?See event flyer for details
YESNO
2
Level of SponsorshipSee event flyer for details
Please Select
Please Select
Diamond Sponsor
Gold Sponsor
Bar Sponsor
Valet Sponsor
Casino Sponsor
Videographer Sponsor
Photography Sponsor
3
Company Name
4
Company LogoUpload File
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*Vector file preferred
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Primary Guest
First Name
Last Name
6
Phone Number
Please enter a valid phone number.
7
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
Afghanistan
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American Samoa
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Angola
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Wallis and Futuna
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Yemen
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Other
Country
8
Email AddressPayment link will be emailed
example@example.com
9
Would you like to reserve a table?Seats 8(for individual seats only, select no)
YESNO
10
Would you like to invite a plus one?
YESNO
11
Your Plus One
First Name
Last Name
12
Would you like to reserve an additional seat?
YESNO
13
Additional Guest
First Name
Last Name
14
Would you like to reserve an additional seat?
YESNO
15
Additional Guest
First Name
Last Name
16
Would you like to reserve an additional seat?
YESNO
17
Additional Guest
First Name
Last Name
18
Select all that apply
Shrimp Cocktail
Brie & Rasberry En Croute
Bacon Wrapped Scallops
19
***ONLY FOR TABLE RESERVATIONS***
Bone-in Grilled Chicken Breast # of plates
Mushroom Ravioli # of plates
Filet Mignon & Lobster # of plates
Special Dietary Request # of plates
*Main & Silver Event Sponsorship include a table*
20
Dinner SelectionPrimary Guest
Bone-In Grilled Chicken Breast
Mushroom Ravioli
Filet Mignon & Lobster
*Special Dietary Request*
21
Dinner SelectionYour plus one
Bone-In Grilled Chicken Breast
Mushroom Ravioli
Filet Mignon & Lobster
*Special Dietary Request*
22
Dinner SelectionAdditional Guest
Bone-In Grilled Chicken Breast
Mushroom Ravioli
Filet Mignon & Lobster
*Special Dietary Request*
23
Dinner SelectionAdditional Guest
Bone-In Grilled Chicken Breast
Mushroom Ravioli
Filet Mignon & Lobster
*Special Dietary Request*
24
Dinner SelectionAdditional Guest
Bone-In Grilled Chicken Breast
Mushroom Ravioli
Filet Mignon & Lobster
*Special Dietary Request*
25
Will you be participating in the Blackjack tables this evening?*Two chances to win $1,000
YESNO
26
Casino PlayTo save time, pre-purchase your casino play
$100
$200
$300
$400
$500
27
Would you like to contribute any additional donations to support our cause?
YESNO
28
Generous DonationAll donations for Mother’s Nest are tax-deductible
Enter Amount (Example: $100)
29
CommentsPlease press “submit” once completed
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SignatureBy signing below, I agree to the registration details provided and pledge to contribute the total amount calculated in this form. I understand that my reservation and/or sponsorship will be confirmed upon receipt of payment.
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