REGISTER ONLINE AT HTTPS://FAIRYTAILS.GIVESMART.COM

I/WE WILL ATTEND THE ANNUAL BENEFIT FOR

Name(s) Attending

Address

Telephone

E-mail address

Check enclosed: Make payable to Pals For Life Mastercard Visa

Name on Card

Card# Exp. Date

Security Code Signature

May we add a 3% donation to offset the cost of credit card processing? Yes No

Pals For Life

TOTAL ATTENDING #__________AMOUNT DUE $_____________

________ REGULAR ENTRÉE

________ VEGETARIAN

________ GLUTEN FREE

MEAL CHOICE

HOUNDSEL & GRETEL $1,000.00 (Admits 4)

PUSS IN BOOTS $250.00 (Admits 1)

PRINCE & THE PUPPER $500.00 (Admits 2)

PUGLY DUCKLING $150.00 (Admits 1)

PATRON

PRINCE, PRINCESS (age 35 & under) $100.00 per person

TABLE OF 10 (one payment for entire table) $1,200.00

QUEEN, KING $125.00 per person

SUPPORTER

FairyBENEFIT

TailsPALS FOR LIFE