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Name _____________________________________________________Company______________________________________Address ________________________________________________________________________________________________City _____________________________________________________________State ______________Zip _________________Phone (____)_______________________________________Email _________________________________________________
Tables of 8 and 10 Only. Please seat these guests at my table.
__________________________________________________ __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ ________________________________________________________________________________________________________________________________________________________________________________________________________
10
8
4
2
Single Reservation: $75/person $85/person after October 30, 2015
$2,000: Classic & Dry Sponsorship
$1,000: Olives & a Twist Sponsorship
$500: Top Hat & Tails Sponsorship
$250: Vermouth Sponsorship
I would like to donate a SILENT AUCTION item. Please call to arrange.
Register, Become a Sponsor, or Donate Auction Items: www.shakennotstirred.auction-bid.org. Online Bidding Starts November 14, 2015Complete this form and mail with your payment, or fax it to: Crossroads Regional Chamber of Commerce • 9101 Taft Street Merrillville, IN 46410 • Fax: 219.736.6223
[ Select One ] [ No. of Reservations ] [ $ Amount ]
Presenting Sponsor Franciscan Alliance
To sponsor, donate or for more information call 219.769.8180 or visit www.crossroadschamber.org
Entertainment Sponsor Electrical Professionals at IBEW Local 697
[ SATURDAY, NOVEMBER 21, 2015 ]
[ You’re invited ]
Radisson Star Plaza
Merrillville, Indiana
• 6:00 p.m.
Cocktails and Hors D’oeuvres
Cocktail Hour Entertainment: Jim Bulanda
• 7:00 p.m.
Awards Presentation and Dinner
• 8:30 p.m. - 11:30 p.m.
Dancing and Open Bar
Evening Entertainment: Standing Room Only Orchestra
$75/person All Inclusive Reservations Required
RSVP by October 30, 2015
$85/person After October 31st, 2015
Annual Gala
Crossroads Regional Chamber of Commerce
Credit Card Information
[ ] VISA [ ] MASTERCARD [ ] AMERICAN EXPRESS [ ] DISCOVER
Name _______________________________________Exp _____________
Credit Card No. _________________________ Security Code ____________
Cardholder Billing Address ________________________________________
City_______________________________ State ________ Zip __________
Signature ____________________________________________________
SPONSORSHIPS
$2000 Classic & Dry
• Includes name in ad and program book plus 10 reservations.
Additional reservations only $65.
$1000 Olives & a Twist• Includes name in ad and program
book plus 8 reservations. Additional reservations only $65.
$500 Top Hat & Tails• Includes name in ad and program
book plus 4 reservations.
$250 Vermouth• Includes name in ad and program book
plus 2 reservations.
All sponsorships must be paid by October 30th to be in ad.
Donate an item or a gift certificate.
All sponsors and silent auction donors will have their company name shown all night on a PowerPoint presentation.
Call the Radisson Hotel and ask for their special Crossroads Regional ChamberGala $89 room rate. 1.800.333.3333 ext. 1234 - Book before October 30th
Created by CONTOUR MEDIA • www.contourmediallc.com
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