Somewhere In Time RSVP

Please respond by June 15. Seating is limited.

Somewhere In Time XII
June 30, 2018 • 5:30 p.m.
West Bend Country Club

Reservations*
Price: $100.00
Total
$0.00
Please list all attendees below with their entrée preference.
Entrée choices are: Beef Tenderloin, Salmon or Vegetarian.
To add attendees, click the "+" symbol to the right of the Entree field.
Attendees*
First Name Last Name Entree Choice
My Guests
I cannot attend, but would like Raise-the-Paddle*
- Diamond Paddle
- Platinum Paddle
- Gold Paddle
- Silver Paddle
- Bronze Paddle
- Other
Donation Amount*
Your First Name*
Your Last Name*
Your Billing Address*
Street Address City State ZIP Code
Email Address*
Phone*
$50 of each dinner reservation is tax deductible, as allowed by law. Please retain your purchase receipt which serves as proof of your reservation. Clicking the Submit button will take you PayPal to make a secure payment.
Clicking the Submit button will take you PayPal to make a secure payment. Thank you for your donation.

First Name	Last Name	Entree Choice