Dinner & Auction RSVP
Contact Information
First Name:
Last Name:
Company:
Address 1:
Address 2:
City:
State:
Postal Code:
How should we contact you ?
Phone:
Email Address:
Information Requested
Please select from the following
Individual Ticket(s) x $100/each
Indicate # of guests
Total Enclosed
$1,000 for a Table Sponsorship (Table for up to 10 people & an Organization sign.)
Indicate # of guests (2)
Total Enclosed (2)
$2,000 as a Presenting Sponsor (Table for up to 10 & special program recognition.)
Indicate # of guests (3)
Total Enclosed (3)
Method of Payment
(select all that apply)
 Credit Card
 Check
 Cash
Send check or cash payments to 4134 N. Vancouver Avenue, Suite 107-C, Portland, OR 97217. To pay with a credit card with PayPal go to http://www.thefirstteeportland.org/club/scripts/view/view_insert.asp?pg=GE&GRP=7659&IID=119251&NS=GE&APP=106.
Additional Information
Comments
or
Additional Information:

Form Verification Code:
.
Click To Refresh The Security Image
Please type in the form verification code:
  

* Bold Fields are Required
Contact The First Tee of Portland, a program of PYGA at qheard@thefirstteeportland.org

Interactive Communications by: MembersFirst | Terms of Use | Privacy Statement