2017 Recognition Dinner

Register for the Project Extra Mile Recognition Dinner November 9, 2017

Please reserve the following number of seats at $70 each

(Eight seat per table)

Please List Each Name in your Party

Separate each name with a comma

Additional Options

Corporate Table ($500) Event Sponsor ($750) Youth Sponsor ($55 each)

Company Name

Please list the Company Name for the Corporate Table

Sponsor Name

Please list the name to be listed for the Event Sponsorship

Youth Sponsorship

Please list the number of youth you wish to sponsor

First Name*

Last Name*

Address 1*

Address 2

City*

State*

Zip*

Phone Number

Email Address*

Payment Options*

Payments can be made by cash or check. We are not able to accept credit cards.

Please send an invoice to the email address listed above I will bring a check the night of the event