2019 Banquet Tickets and Donation Form
(Sunday, November 3rd, 2019, at 5:00 pm at Waterford Banquet, 933 South Riverside Drive, Elmhurst Illinois 60126)
Patron Information:
* FirstName * LastName
* Address
* City * State * zip
* Home Phone Office Phone * Email

Number of Tickets ($50 each) Pick up at the Banquet:
Would you like to Add donation? Amount of Donation: $ (This is other than ticket cost)
Add Souvenir book ad payment? Payment towards Ad. in souvenir book: $
Do you have Children who is participating in Cultural Program ($25/child)?
Do you have Children 5 to 10 years old that you would like to provide Babysitting at Banquet $20/child)?
(If you know the Table #, please enter the Table #)
If paying by Check or Cash, please select appropriately:
(If neither is selected you will be taken to the Credit card payment page)
Paying by Check Paying by Cash

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