Fur Ball 2009 RSVP - Print Version

A dinner auction to benefit the Champaign County Humane Society
Friday September 25, 2009 -6:00 PM - Hilton Garden Inn, 1501 South Neil Street, Champaign

Please mail by Wednesday September 16, 2009 to
Champaign County Humane Society, 1911 E. Main Street, Urbana, IL 61802.

Name
____________________________________________________________________________

Address
___________________________________________________________________________

City State Zip
____________________________________________________________________________

Phone Number
____________________________________________________________________________

Email Address
____________________________________________________________________________

I would like _____ Individual Tickets at $75 each. Please list names of all attendees on reverse.

If a vegetarian meal is desired, please specify the number of meals ______

I am unable to attend, however please accept my tax deductible donation of $_______

*** Please visit cuhumane.org for sponsorship opportunities for this event.

Payment:
______ Check or Money Order for $__________

______ Mastercard ______ VISA ______ Discover

Number ______________________________ Exp _______