12th Annual WCF Scholarship Awards Banquet
Event Registration & Sponsorship Form

Wednesday, May 4, 2011 ~ 6 p.m.
Wamego Middle School

Registration and Sponsorship Deadline is April 25

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Contact Information
Information in bold is required

Name:....
   
Business:....
   
Address:....
   
City:....
State: Zip:
   
Telephone:....
Fax:
   
E-mail:....
   

Banquet Ticket Order
Note: Tickets will not be mailed in advance.

1. Please check one box for each attendee you are registering
2. Enter First and Last names as you would like them to appear on name badges
3. If you would like to purchase additional tickets to be donated to scholarship recipients and/or     their guests, please enter the word "Donation" in the Attendee Name field(s).

>>Individual tickets ... $15.00 each
Attendee name:....
Attendee name:....
Attendee name:....
Attendee name:....
Attendee name:....
Attendee name:....
Attendee name:....
Attendee name:....
Attendee name:....
Attendee name:....
Attendee name:....
Attendee name:....
   

Table Sponsorships
Table sponsors receive 2 complimentary tickets per table; additional tickets may be purchased above.
Click here to see Table Sponsorship Recognition

1. Please check one box for each table you would like to sponsor
2. Click here to submit your logo (will open a new window)
3. Enter the First and Last names of both attendees on same line (ex: Bob Smith and Jane Doe)

>>Table Sponsorships ... $175.00 per table
Table 1 ................ Attendee names:..
   
Table 2 ................
Attendee names:..
   
Table 3 ................
......Attendee names:.
   
Table 4.................
 Attendee names:..
 
Additional Tax-Deductible Contribution

>> Check here if you would like to make an additional contribution to the Scholarship Awards Fund

Amount of contribution: (Do not use commas or dollar signs; ex. 1000.00)

ATTENTION: After clicking the "Submit" button below, you will be taken to a secure server where you can pay by Credit or Debit Card or PayPal. Thank you!