Registration Form for CCDBR's Helen Prejean event

RESERVATION FORM for
AN EVENING WITH SISTER HELEN PREJEAN
MARCH 15, 2007

Please print this page, fill in requested information and send with your check to:: CCDBR; 1325 S. Wabash, Room 105; Chicago, IL 60605
or copy this page into your email, fill in requested information, email it to ccdbr@pobox.com, and pay us later.

NAME:
ADDRESS:
TELEPHONE:
EMAIL:
MY RESERVATION IS FOR: the RECEPTION & BUFFET WITH SISTER HELEN (includes the main program) Single place at $125___; two or more at $100 each___ Number of places you wish to reserve _____ the PROGRAM ONLY $35/PERSON Number of places you wish to reserve ____ If you want to contribute but will be unable to attend, we will make places you ordered above available to others who would otherwise not be able to attend. Please check here if that is your wish: ____ Amount of your check: ______ (Note: checks made out to "BORF" or the "Bill of Rights Foundation" are tax-deductible) MANY THANKS!
the RECEPTION & BUFFET WITH SISTER HELEN (includes the main program): Single place at $125___; two or more at $100 each___; Number of places you wish to reserve _____
the PROGRAM ONLY: $35/PERSON; Number of places you wish to reserve ____
If you want to contribute but will be unable to attend, we will make places you ordered above available to others who would otherwise not be able to attend.: Please check here if that is your wish: ____
Amount of your check: ______: (Note: checks made out to "BORF" or the "Bill of Rights Foundation" are tax-deductible)
MANY THANKS!