Mr. & Mrs.______________________________________________________________ Address_________________________________________________________________ City_____________________________ State_____________ Zip__________________ Telephone______________________________________________________________ Please reserve _________ Tickets ($75 donation per person) Tables accommodate 10-12 persons. Tickets will be held at the door. We are unable to attend but wish to support your work with a $__________ donation. I would like to donate the following to the Silent Auction:
(give value of each item) ______________________________________________________________________ I may be contacted at _____________________ to arrange for pick-up of the above items. I wish to be seated with: ______________________________________________________________________ ______________________________________________________________________ Please make checks payable to Illinois Right to Life Committee |