2024 ILRHA Awards Banquet
This form is to pay by check.
All payments must be received by February 7th, 2024.
Will you be paying with a check? All payments must be RECEIVED by February 7th, 2025.
*
I will be mailing a check to: ILRHA C/O Cheryl Roelfsema 3129 E 27th Road, Marseilles, IL 61341.
No, I will be paying Electronically. If you select this, you do not need to fill out this form & need to complete the form for electronic payment at this link: https://www.zeffy.com/ticketing/2025-ilrha-banquet-payment-form
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Banquet Attendees
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( X )
Individual Meal
$
35.00
Quantity
1
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20
Youth 12 & Under
$
20.00
Quantity
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10
Youth 2 & Under
$
Free
Quantity
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Item subtotal:
$
0.00
Name RSVP is Under
*
First Name
Last Name
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This section is too be filled out for any RSVP's for more than 1 person.
Attendee #2
First Name
Last Name
Attendee #3
First Name
Last Name
Attendee #4
First Name
Last Name
Attendee #5
First Name
Last Name
Attendee #6
First Name
Last Name
Attendee #7
First Name
Last Name
Attendee #8
First Name
Last Name
Attendee #9
First Name
Last Name
Attendee #10
First Name
Last Name
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Enter Email if you would like an email confirmation. The email confirmation will include the address to send your payment to if sending a check.
example@example.com
Be sure to print & send with your check.
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