Table Registration Form

SECOND ANNUAL BEE GRATEFUL GALA

FULL Table Registration and Payment Form
PLEASE ONLY USE THIS FORM IF YOU ARE PART OF A FULL TABLE REGISTRATION

Date

November 16, 2019

Time

6pm - Midnight

Address

HYATT REGENCY DOWNTOWN
125 E Main St, Rochester, NY 14604
Full Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
E-mail
Phone Number

Area CodePhone Number
I am Paying For This Many People
$120 Per Person - Including Yourself (Includes $5 full table OF TEN discount)
Please enter the names and meal choices of all your attendees:

Choices are:

~Sirloin Of Beef with Merlot Demi Glaze~
Roasted Garlic Mashed Potatoes
Seasonal Vegetables

~French Cut Chicken~
Filled with Sundried Tomatoes
Spinach, Ricotta Cheese
Roast Chicken Jus
Roasted Garlic Mashed Potatoes
Seasonal Vegetables

~Vegetarian~
Sweet Potato Gnocchi
Sauteed Spinach, Brown Butter Cream Sauce
Sundried Tomatoes
Attendee Names / Meal Choices
Please List Who Else Is At Your Table
Special Requests
Total

USDAmount will be charged to your credit card today.

SECOND ANNUAL BEE GRATEFUL GALA