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2025 Community and Leadership Award Banquet
Name
*
$
First Name
Last Name
$
One Time
Recurring
Organization
*
$
$
One Time
Recurring
Address
*
$
Address Line 1
Address Line 2
City
State
Zip
$
One Time
Recurring
Email
*
$
$
One Time
Recurring
Phone
*
$
$
One Time
Recurring
Single Ticket
*
$
$
x $140.00
One Time
Recurring
Table of 10 tickets
*
$
$
x $1,400.00
One Time
Recurring
People and Entrees
*
$
$
One Time
Recurring
Please list each person in your party and their entree selection Choices are: filet of beef, salmon, vegetarian pasta
Full Page Ad
*
$
$
x $500.00
One Time
Recurring
Half Page Ad
*
$
$
x $275.00
One Time
Recurring
Quarter Page Ad
*
$
$
x $150.00
One Time
Recurring
Dinner Sponsor
*
$
$
x $2,500.00
One Time
Recurring
Reception Sponsor
*
$
$
x $2,000.00
One Time
Recurring
Please help us keep costs down by adding the 3% processing fee.