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Gala Registration - 2018

Safe Avenues Cordially Invites You...



 

Event Details

  • Date: Friday, April 27, 2018
  • Time: 5:00 PM Social hour & silent auction - 6:30 PM Dinner, Program & Live Auction
  • Location: Willmar Conference Center - Willmar, Minnesota

  • Featuring:
    • James Swenson ~ Emcee
    • Kristine Fladeboe Duininck ~ Auctioneer
    • Safia Khan ~ Speaker

Proceeds from this event provide advocacy, parenting time services and shelter to victims of domestic and sexual violence.

Yes, I would like to attend. Please reserve seats at $50/person.

I will pay a total of $

I am unable to attend but wish to make a donation to Safe Avenues

 

Enclosed is my gift of $

Menu Choices

  1. Montreal Bacon Wrapped Pork Chop with White Wine Demi Glaze served with Twice Baked Au Gratin Potatoes and Roasted Vegetables
  2. Herb Crusted Saltimbocca Stuffed Chicken Breast with Gouda Sauce served with Twice Baked Au Gratin Potatoes and Roasted Vegetables
  3. Provençale Crusted North Atlantic Haddock with Roasted Tomatoes served with Twice Baked Au Gratin Potatoes and Roasted Vegetables
  4. Vegetarian Option: Golden Vegan Squash Wellington and Roasted Vegetables

Your Entrée Choice Accompanied by:
Wedge Caesar Salad topped with Shredded Parmesan Cheese and Black Olives and served with a Crostini


Attendees:


To Register by phone:
Call the administrative office at 320.235.0475


Billing Information:

Name:

Address:

City:

State:

 Zip:

Phone:

Email:

*Table Host:
  • *Some attendees may wish to have a group of up to 8-10 people sit together. If this applies to your group, identify the table host for your group/table and enter his/her name in the Table Host registration blank above.
  • At the Gala, name cards for all attendees on this registration submission will be placed at the table that corresponds to the designated Table Host.


Payment Options: (please choose one below)

  • Mail a Check:
    PO Box 568 Willmar, MN 56201

  • Credit Card by Phone:
    Please call us to give your card info.

  • Credit Card by Paypal:
    Payment button will show once you submit this form.


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