Table Reservation

 

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Supporting and strengthening opportunities for the next generation of extraordinary people


 

Thank you for your interest in the Night at the Races.  You may sign-up on-line or mail this information to the Foundation at the address below.

 

Please submit:

         (a) your contact information,

         (b) for parties of four or more, you may optionally request reserved seating,

         (c) your payment via mail or on-line.

(A) Primary Contact:
Name
Address
City
State
Zip
Home Ph
Work Ph
Cell
E-mail

 

(B)  Optional Table Reservation Request:

You may optionally request reserved seating for a party of four (4) or more guests for the Night at the Races.   Please make your request, and provide for payment for each guest in your party, by no later than February 26, 2005.

Please note: we can not reserve your table until we receive payment from each guest in your party.

Number of Guests:   

Please include any information which might be helpful for us to contact the primary contact and as much information as possible for the other guests in the group.  We will send you, and each additional e-mail address you list below, an e-mail with your table information once we have confirmed your request and received payment.

Additional Guests (please list each or "guest" if name is unknown)

                      name                                                                            e-mail

#2    

#3    

#4    

#5    

#6    

#7    

#8    

#9    

#10  

#11  

#12  

#13  

#14  

#15  

 

For our records, do you plan on paying bycheck,on-line via PayPal, orundecided?

 

In order to be seated with people you are more

likely to know, please let us know who is your principal

contact at the foundation:  

 

Comments: (e.g. please let us know if you believe some of your guests are paying separately)

 

(c) Payment:

You may pay by check or on-line as follows:

 

please make checks payable to the "Steven Strobert Foundation, Inc."

 

Checks can be sent to:

 

   Steven Strobert Foundation, Inc.

   PO Box 2314

   Secaucus, NJ 07096-2314

or pay on-line using your credit card through PayPal (note: you can use your credit card without opening any PayPal account):

 

If you prefer, please feel free to print this form and mail it to us at the address above.  You can download an adobe pdf copy of our invitation by clicking here.

Thank you.

 

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Notice. Last modified: 10/30/08