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Barnum Ball Reservation Form
An easy way to make your online reservation to attend the Barnum Ball. A confirmation email will be sent to you within 48 hours upon receipt. Tickets will not be sent.
Prefix
Select One
Mr.
Mrs.
Ms.
Name
*
First
Last
Address
*
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Country / Region
Email
*
Daytime Phone
*
###
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###
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####
Evening Phone
###
-
###
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Meal Choice (for yourself)
*
Select one
Chicken Medallions with Tangy Mustard Sauce
Bistro Steak with Cabernet Reduction
Seared Salmon with Lemon Beurre Blanc
Roasted Vegetable Napoleon
Payment options
I will pay via PayPal (click PayPal below)
I will send a check payable to "Bethel Education Foundation" and mail to PO Box 92, Bethel, CT 06801
Number of tickets
*
Select # tickets
1 ticket ($75)
2 tickets ($150)
3 tickets ($225)
4 tickets ($300)
5 tickets ($375
6 tickets ($450)
7 tickets ($525)
8 tickets ($600)
9 tickets ($675)
1 table of 10 ($750)
Now list who besides yourself is included in this reservation and will be paid for in this reservation.
Name of guest #2
First
Last
Meal Choice (guest #2)
Select one
Chicken Medallions with Tangy Mustard Sauce
Bistro Steak with Cabernet Reduction
Seared Salmon with Lemon Beurre Blanc
Roasted Vegetable Napoleon
Name of guest #3
First
Last
Meal Choice (guest #3)
Select one
Chicken Medallions with Tangy Mustard Sauce
Bistro Steak with Cabernet Reduction
Seared Salmon with Lemon Beurre Blanc
Roasted Vegetable Napoleon
Name of guest #4
First
Last
Meal Choice (guest #4)
Select one
Chicken Medallions with Tangy Mustard Sauce
Bistro Steak with Cabernet Reduction
Seared Salmon with Lemon Beurre Blanc
Roasted Vegetable Napoleon
Name of guest #5
First
Last
Meal Choice (guest #5)
Select one
Chicken Medallions with Tangy Mustard Sauce
Bistro Steak with Cabernet Reduction
Seared Salmon with Lemon Beurre Blanc
Roasted Vegetable Napoleon
Name of guest #6
First
Last
Meal Choice (guest #6)
Select one
Chicken Medallions with Tangy Mustard Sauce
Bistro Steak with Cabernet Reduction
Seared Salmon with Lemon Beurre Blanc
Roasted Vegetable Napoleon
Name of guest #7
First
Last
Meal Choice (guest #7)
Select one
Chicken Medallions with Tangy Mustard Sauce
Bistro Steak with Cabernet Reduction
Seared Salmon with Lemon Beurre Blanc
Roasted Vegetable Napoleon
Name of guest #8
First
Last
Meal Choice (guest #8)
Select one
Chicken Medallions with Tangy Mustard Sauce
Bistro Steak with Cabernet Reduction
Seared Salmon with Lemon Beurre Blanc
Roasted Vegetable Napoleon
Name of guest #9
First
Last
Meal Choice (guest #9)
Select one
Chicken Medallions with Tangy Mustard Sauce
Bistro Steak with Cabernet Reduction
Seared Salmon with Lemon Beurre Blanc
Roasted Vegetable Napoleon
Name of guest #10
First
Last
Meal Choice (guest #10)
Select one
Chicken Medallions with Tangy Mustard Sauce
Bistro Steak with Cabernet Reduction
Seared Salmon with Lemon Beurre Blanc
Roasted Vegetable Napoleon
Seating preference: (Please state who you would like to be seated with. This would include other attendees not included in your reservation.)
Do you have any questions?
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