WDSRA  •  116 N. Schmale Road  •  Carol Stream, IL 60188  •  (630) 681-0962   •  www.WDSRA.com
Western DuPage Special Recreation Association

18th Annual Charity Auction Online Registration Form

 

"A Medieval Knight's Faire"


Saturday, March 10, 2012
The Abbington, Glen Ellyn
Registration begins at 6:00 pm

Questions regarding the auction should be directed to
Cindy Allston at (630) 681-0962 ext. 132
or e-mail cindya@wdsra.com

Registration Fee: $90 per person

Table Sponsorships are available for $700. Includes 10 tickets and you must RSVP by Feb 15
with one payment and the names of all guests.

 

When you submit this form, you will be directed to a secure website
for payment information. If you choose
mail check or invoice, please close
out of the credit card screen

Contact Name  
   
Address

Phone Number

City
State
Zip
 
2nd Name  
3rd Name  
4th Name

Express Checkout
The Express Checkout service allows you to register your credit card information before the event. That evening, you can claim you auction items at the end of the evening and avoid the cashier line. An itemized receipt will be mailed to you with a copy of your credit card receipt within two weeks after the auction. If you're interested in taking advantage of this service, please check the box below and someone from our office will contact you

5th Name
6th Name
7th Name
8th Name
9th Name
10th Name
Payment Options:

If you choose credit card, you will be directed to the credit card screen after clicking submit. If you choose invoice or mail check, please close out of the credit card screen after clicking submit.

Checks should be mailed to WDSRA Foundation, attn: Charity Auction, 116 N. Schmale Road, Carol Stream, IL 60188

E-Mail Address of person submitting form

 

Please describe any special accomodations that are required:

If you have a specific seating request, please enter it here:

 

When you click submit, you will be directed to our secure payment site to enter credit card information.
If you chose mail check or invoice, just close out of that screen after hitting submit below.


The fee is $90 per person
Table Sponsorships are $700

Number of Single Event Tickets x $90 =

Number of Table Sponsorships x $700 =

Number of Live Raffle Tickets x $35 =

For Live Raffle Tickets, please choose item-Click here to view list

Number of Cash Raffle Tickets x $5 =

 

GRAND TOTAL $ (click in the box for your total)
( If you choose credit card, enter this amount on the next screen)

 




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