2017 Recognition Dinner Please click on the image to see a larger version. 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 Information for the Reservation First Name* Last Name* Address 1* Address 2 City* State* AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict Of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming 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