Ladies Only Luncheon Reservations

Untitled Document

I will attend at $60.00 per person. Please seat me with:

I will attend with additional guests at $60.00 per person.

I regret I cannot attend. However, I would like to make a donation and/or purchase online raffle tickets.

Your RSVP Information

* Name:
*Address:
* City:
* State:
* Zip / Postal Code:
(Ex: XXXXX or XXXXX-XXXX)
*Phone:
(Ex: XXX-XXX-XXXX)
* E-mail:
* Salad Choice:
This information is the same as my billing information.
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Please enter your guest's information below

Add A Guest
 

Premier Prize Raffle Ticket

I would like to purchase Raffle tickets for "Chicago ~ My Kind of Town" donated by Miller Travel Services and Friends of the Barber National Institute $ 0.00.

Tickets are $10 each or 3 for $25. Entry will be automatically submitted to the drawing.

Diva Design Drawing

I would like to purchase Raffle tickets for "Winning with Spades" donated by Friends of the Barber National Institute at $ 0.00.

Tickets are $5 each or 3 for $10. Entry will be automatically submitted to the drawing.

Additional Donation

I would like to make a donation: $(min. $10.00)

 

Billing Information:

Total Transaction Amount: $0.00
* Credit Card Holder Name:
Company:
* Address:
* City:
* State:
* Zip / Postal Code:
(Ex: XXXXX or XXXXX-XXXX)
* Phone:
(Ex: XXX-XXX-XXXX)
* E-mail:
* Card Type:
* Card Number:
No dashes or spaces.
* Expiration Date: /
* Security Code (CCV):