United Way of Greater Lafayette Logo
Ticket & Table Prices
Donation Amount
$
Sold Out
# of Individual Tickets
$100
Sold Out
# of Tables (8 seats per table)
$1,000
Contact information
First Name
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Last Name
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Mobile Number
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Email
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Address
Zip
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Company/Organization (enter N/A if no affliation):
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Please indicate menu selections below and include the names for each entrée.
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Enter quantity for Grilled Flank Steak
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Grilled Flank Steak
Complimentary
8-ounce Flank Steak Seasoned and Grilled to Medium, Topped with Mushroom Cream Sauce
Names for Entrée 1 (list all attendees choosing Entrée 1, separate additional names with a comma)
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Enter quantity for Herb Crusted Chicken
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Herb Crusted Chicken
Complimentary
Herb Crusted Chicken Tossed with Herbs, Baked to a Golden Brown and Topped with Pesto.
Names for Entrée 2 (list all attendees choosing Entrée 2, separate additional names with a comma)
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Enter quantity for Cauliflower Steak
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Cauliflower Steak
Complimentary
Parmesan Crusted Cauliflower Steak with Marinara on a Bed of Pasta
Names for Entrée 3 (list all attendees choosing Entrée 3, separate additional names with a comma)
Payment information
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Account Type
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Expired Credit Card
CVV
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3-Digit Card Verification Number
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4-Digit Card Verification Number
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Donor hereby approves the payment of the charitable donation and/or purchase to United Way of Greater Lafayette and in the amount set forth herein.
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