Gala Dinner United For Ukraine Waitlist

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Dear guest,

We are delighted that you wish to attend this special occasion. Please fill in this waitlist form and we will inform you should the space become available.

Benefit Gala Dinner United For Ukraine will take place on Sunday, February 5th, 2023 at The Vancouver Club and is aimed to raise funds for the active needs of the Ukrainian people. In particular, the funds will be directed towards humanitarian and mental assistance of the children as well as medical and other vital supplies for all ages.

Please see the Eventbrite link for more details.

Email *

First Name *

Last Name
*

Company / Organization

Phone number

*only for emergency purposes (like event changes or refunds), not to be disclosed or used in any other way

Please, make your choice for the appetizer:
*

Simple Greens: crudités, citrus vinaigrette, soft herbs (vg/gf/df)

Romaine Salad: caesar dressing, parmesan, chili breadcrumbs (v)

Signature Tomato soup: concassé, crispy basil (v/gf)

Please, make your choice for the entrée:
*

Chickpea Galette: smoked cashew yogurt, saffron rice, tomato confit (vg/gf)

Chicken Breast: fregola, dried apricots, almonds, green olive jus (df)

Salt Baked Salmon: almond butter, rapini, tomato braised lentils (gf)

Please, make your choice for the one beverage included in your ticket
*

White wine: Delibori Pinot Grigio

Red wine: Poplar Grove Generation Merlot

Spirits: New Amsterdam vodka, Tanqueray gin, Bacardi white rum, El Jimador Tequila, Alberta Premium rye, Jim Beam Black bourbon

Beer: Assorted Domestic and Import

Juice: Apple, Orange, Grapefruit, Cranberry

Soft Drinks: Coke, Diet Coke, Gingerale, Sprite, Tonic, Club Soda

Coffee

Tea

Do you have any food and beverage allergies?
*

Yes

If answered "yes" to a previous question, please specify your allergies: *

otherwise please write "n/a".

Who offered you with this special invitation containing the link or a QR code to this attendance confirmation form?

Full name of the person and company or institution.

A copy of your responses will be emailed to the address you provided.

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