Senior Soiree Tickets

Senior Soiree, Saturday, May 10, 6:30pm, Templeton Campus Center, Fields Dining Room

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Your Name
Senior Name
Number of Additional Guests
Mailing Address
Phone (day)
Phone (evening)
E-mail address
Special needs - please describe (Handicapped/Dietary/etc.)
Special Table Reservations

Note: Tickets are $25 each/ $10 each for children 12 and under
Total number of tickets requested (payment for graduating senior required)
Dinner Cost
Optional Senior Gift Contribution Amount
Grand Total to Pay
Payment options (we are unable to accept credit card payments online).
I am sending a check for the total amount today. (Address is provided after you submit this form.) I will call you at 503-768-7200 to pay by credit card (Visa or MasterCard). Please call me to arrange to pay by credit card (Visa or MasterCard).