dinner reception

Wine and Bourbon Tasting

Thursday, October 10, 2024

7:00 - 10:00pm

Plainfield Country Club

Registration Form

Sponsorships, ads, RSVPs, and donations are due by September 27^th.

"*" indicates required fields

I am unable to attend but would like to make a donation

I am unable to attend but would like to make a donation:

Donation Amount

Guest Reservations:

@ $250 per person

Price: $250.00

Sponsorship Opportunities:

E-Journal Ads:

@ $200 each

Price: $200.00

Contact Information:

First Name*

Last Name*

Phone

Email*

Address*

Street City State ZIP Code

I am an:*

Alumnus/Alumna

Parent

Friend

Faculty/Staff/Administration

Class of:

Total:

Payment Information:

American Express

Discover

MasterCard

Visa

Card Number Expiration Date MM / YYYY Security Code Cardholder Name

Seating Request

If you are reserving a table, or seats for multiple guests, please email [email protected] with the names of each member of your party. All tables will seat 10 guests.

E-Journal Ads

Please email artwork to [email protected] by September 27^th.