Banquet Registration Form

Registration for the Annual Banquet and Silent Auction

There is one change this year: there is no charge to reserve tables. Your partnership is vital because all the funds raised will go towards the renovation of Lexington Rescue Mission's new community center. We want you and your guests to discover all the good God is doing in our city through the Lexington Rescue Mission; the incredible vision for our new community center; and for you to respond generously as The Lord leads.
Registration*
Full Name*

First NameLast Name
Company
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
E-mail*
Phone Number*
Please enter a valid phone number.
I want to:*

be a Table HostReserve a certain amount of seats
I am reserving this many seats:
Only for individuals. Table Hosts require 10 guests including yourself (please see next question)
Guest Information (table hosts please fill out information for 10 guests)
1. First Name   Last Name   EmailPhone Number
2. First Name   Last Name   Email Phone Number
3. First Name   Last Name Email Phone Number
4. First Name   Last Name   Email Phone Number
5. First Name   Last Name   Email  Phone Number
6. First Name   Last Name   Email Phone Number
7. First Name   Last Name   Email  Phone Number
8. First Name   Last Name   Email Phone Number
9. First Name   Last Name   EmailPhone Number
10.First Name   Last Name   EmailPhone Number
Are there any special dietary needs?
Should be Empty:

Registration for the Annual Banquet and Silent Auction