FALLGala

TICKET RESERVATIONS
PLEASE REPLY ON OR BEFORE NOVEMBER 6, 2015.
PLEASE FILL OUT BOTH SIDES OF THIS REPLY CARD.

PLEASE RESERVE THE NUMBER OF SELECTED TICKET(S) BELOW:

INDIVIDUAL TICKET(S) $95.00
BUDDY SPONSOR TICKET(S) $175.00

(Includes recognition in the program & sponsorship of a person

served by The Arc Mercer to attend the Gala)

TABLE OF TEN $900.00

(Includes 10 tickets and recognition in the Gala program)

PLEASE INITIAL ENTRE CHOICE FOR EACH GUEST:

LEMON AND FRESH HERB ENCRUSTED ROASTED
SPRING CHICKEN
ROSEMARY RUBBED FRENCH CUT CENTER PORK
CHOP WITH CHERRY BRANDY DEMI GLAZE

F O R I N F O R M A T I O N A B O U T T H E V E G E TA R I A N O P T I O N ,
Please Contact Kris Clark at (609) 406-0181, Ext. 178 or kclark@arcmercer.org

CONTACT NAME
COMPANY NAME
PLEASE SELECT METHOD OF PAYMENT:
CHECK ENCLOSED

AMEX

VISA

MASTERCARD

CREDIT CARD #

DISCOVER

EXP. DATE

NAME ON CARD
ADDRESS
ADDRESS 2
CITY
TELEPHONE
EMAIL

NAMES OF TABLE GUESTS

STATE

ZIP