RSVP for Caritas 2013

Online Credit Card R.S.V.P.

Please fill out the following form and hit the continue button when you are finished.
(* denotes a required field).

***IF you are doing a pre-registration of your credit/debit card fill out the required fields, proceed to the PRE-REGISTER for the ONLINE AUCTION section fill it out,
and hit the continue button — then EXIT THE WEBSITE DO NOT FILL OUT THE NEXT FORM!! ***

DEMOGRAPHIC INFORMATION

Name: *

Company Name:

Address: *

City: *

State: *

Zip: *

Phone Number (999-999-9999): *

Email: *

RESERVATIONS

Number of Reservations @ $275 per person:

Type of entree: #

Guest 1 select Your Entree:

Guest 2 select Your Entree:

# For more than 2 guests, please contact the advancement office at 815-740-5045 with your entree selections.

PURCHASE RAFFLE TICKETS

Raffle tickets are $50 each or 3 for $100

Number of Raffle Tickets (if no raffle tickets please enter 0)

*Please make sure you remember (write down) the number of tickets and cost, you will need the information later.

PRE-REGISTER for the ONLINE AUCTION

Avoid the long lines and fill out the information below to pre-register your credit card for the silent auction.

Type of Credit/Debit Card:

Credit Card/Debit Card Number (9999 9999 9999 9999):

Expiration Date: (99/99):

***IF you are doing a pre-registration of your credit/debit card fill out the required fields, proceed to the PRE-REGISTER for the ONLINE AUCTION section fill it out,
and hit the continue button — then EXIT THE WEBSITE DO NOT FILL OUT THE NEXT FORM!! ***