United Way

United Way of Greater Lafayette Logo

# of Individual Tickets

$100

Only 26 left

# of Tables (8 seats per table)

$1,000

Only 1 left

First Name

Last Name

Mobile Number

Address

Zip

Company/Organization (enter N/A if no affliation):

Please indicate menu selections below and include the names for each entrée.

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)

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)

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)

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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.