Pius X High School | 6000 A Street | Lincoln, Nebraska 68510 | Phone: 402.488.0931 | Fax: 402.488.1061

Kings, Queens, Bishops...BOLT 2012

BOLT Home What, When, Where Schedule Making Your Reservation Lottery Ticket Preview Live Auction

 

RSVP by March 21, 2012

Limited Seating Available, Please Respond Promptly

Please make reservations for ______ persons at $300 per couple.

$150 per person ($100 per person is tax deductible)

Please reserve __________table(s) of eight persons.

I cannot attend, but please accept my tax deductible contribution of  $_________________ ($200, $100, Other)

Your Name _______________________________________

Address__________________________________________

City ____________________________State____________

Zip_________________________________________________________________________________________________

Phone____________________________________________

Make check payable to: BOLT or charge to:
Visa/MasterCard ______ Expiration date ________________

Signature _____________________________________________________________________

Please list below the names and addresses of guests at your table (s) or persons with whom you wish to be seated. Be sure to include your own name.

Thank you for supporting  BOLT -
 Building Outstanding Leaders Today

Seated at my table are:

Name Address Phone

 

1._____________________________________________________________________

2._____________________________________________________________________

3._____________________________________________________________________

4._____________________________________________________________________

5._____________________________________________________________________

6._____________________________________________________________________

7._____________________________________________________________________

8._____________________________________________________________________