Lutheran High Brunch Reservation Form

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Sponsored by the Foundation for Excellence

All Proceeds benefit the LuHi Bus Fund

DATE: Sunday, October 15th

TIME: 10:45-1:00 (come anytime)

PLACE: Trinity Lutheran Parish Hall, 515 South MacArthur Blvd, Springfield, IL

RSVP BY: Wednesday, October 4th

Please fill out this form to reserve your spot(s) and send payment to Kim Haynes at Lutheran High. If you already sent in a paper form, you don't need to do this electronic form. Thanks!

No physical or electronic tickets are sent out. However, your name will be on a reservation list the day of the brunch.

Thank you for supporting Lutheran High School!

NAME *

ADDRESS *

ADULT TICKETS $15 EACH

(say how many below)

STUDENT TICKETS $10 EACH - AGES 6-12

(say how many below)

CHILD TICKETS FREE - UP TO AGE 5

(say how many below)

CRUSADER SPONSOR $1,000

Yes, I will take 8 tickets included in the sponsorship.

I will be a Crusader sponsor but don't need the tickets.

Clear selection

SILVER SPONSOR $500

Yes, I will take 4 tickets included in the sponsorship.

I will be a silver sponsor but don't need the tickets.

Clear selection

BLUE SPONSOR $250

Yes, I will take 2 tickets included in the sponsorship.

I will be a blue sponsor but don't need the tickets.

Clear selection

ANY DONATION

(please list amount below)

TOTAL AMOUNT DUE

(please list amount below)

I will send cash or check to the address below by October 4th.

Check made out to: Lutheran High School

Lutheran High School

Brunch Fundraiser

5200 S. 6th Street Frontage Rd. E

Springfield, IL 62703

Yes

Required

YOUR EMAIL

(your reservation & payment will be confirmed by email)

If you have any questions or notes, you can leave them here for Kim Haynes. Thanks so much!

Submit

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