phone: 480.621.8361, fax: 480.621.8513
3341 E. Queen Creek Road, Suite 109, Gilbert, AZ 85297

It's a Wonderful L.I.F.E. Event Registration

6 p.m. to 9 p.m.
Saturday, December 1, 2007
Trilogy Ballroom at Power Ranch
4369 E Village Pkwy, Gilbert, AZ 85297
map to event

First Name:
Last Name:
Company:
Address:
City:
State:
Zip:
Telephone:
Email Address:
Yes! I would like to make a donation to the auction. (You will be contacted for more information.) Yes
No
Individual Ticket(s) - $50 each - enter number of tickets
What type of meal would you like? Please enter a quantity next to your selection(s).
Prime Rib:
Herbed Chicken Breast:
Vegetarian:
Table(s) of 10 - $1,000 each - enter number of tables
How would you prefer to pay?
© 2007 Lauren's Institute for Education