CEF Fundraiser Reservation Form

Soaring to New Heights Fundraiser Dinner

Every Child, Every County, Every Day
Event Details

Friday, November 7, 2025 • 5:30pm - 8:30pm • The Grapevine Center Las Cruces
Once completed - Scroll to bottom to Submit form
NAME*

PrefixFirst NameMiddle NameLast Name
MAILING ADDRESS *

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

Area CodePhone Number
E-mail*
I am a guest of (ENTER NAME BELOW). Please seat me at or near their table.

Last Name ______________________ First Name _______________________
Number of Guest
Provide the names of your guests below. Tables seat 8 guests. Children age 12 and older are welcome.
Name

First NameLast Name
Name

First NameLast Name
Name

First NameLast Name
Name

First NameLast Name
Name

First NameLast Name
Name

First NameLast Name
Name

First NameLast Name
Can you sponsor a table for $400 to help our cause?
Should be Empty:

Soaring to New Heights Fundraiser Dinner