BISHOP KELLY FOUNDATION'S
WINNER'S CHOICE DINNER AND AUCTION

Each couple purchasing a ticket is entered into a drawing that evening for a new car from Meridian Ford!
Yes, we plan to attend and have enclosed our payment of $300 (raffle ticket price;                  includes dinner for two)
chance to win the car.
Table Contact*
Table/Company Name
Address*
City*
Zip Code*
Email Address*
Phone Number*
 
May we use your email address for all future correspondence (thank-you, acknowledgements, etc.)?
 Yes
 No

We are interested in purchasing advertising in the evening's program
  Yes
 No

We Are  BK Parents Past Parents Grandparents Alumni

RSVP early by October 7, 2011, and be entered into a drawing for an iPad!!

Total to be charged to card:

Please list Attendee Below.

Table Guests (please provide names and addresses if available)

Please indicate a "v" by the name of any one requesting a vegetarian meal.

1.
Name
Address
2.
Name
Address
3.
Name
Address
4.
Name
Address
5.
Name
Address
6.
Name
Address
7.
Name
Address
8.
Name
Address
9.
Name
Address
10.
Name
Address

“Thank you for your registration if you have difficulty with processing your credit card payment please contact Rita Franklin to assist with the process.” Contact number for Rita Franklin is323-4789. For after hours or weekends call 841-7322.