METRO HOMELESS CENTER

SHALOM HOUSE

There’s No Place Like Home

Dinner & Auction

Saturday, October 4, 2008

TABLE RESERVATION FORM

Table Host____________________________________________________________________

Address__________________________________________ Phone Number_______________

City________________________ State_______ Zip________ E-Mail______________­­­_______

Is a business/organization sponsoring this table?

q       YES      Name of Business/Organization_______________________________________           

q       NO

I/We wish to sponsor a:

q       Regular Table -$640 ($80 per person)

q       Patron Table Sponsor -  $1,000

q       I am unable to attend but would like to make a donation in the amount of $­_________.

All Patron Table Sponsors will be recognized in the auction program and through signage on the table.

Please list the name of each guest:

1.______________________________                     5._______________________________

2.______________________________                     6._______________________________

3.______________________________                     7._______________________________      

4.______________________________                     8._______________________________

Form of Payment

o  Check Enclosed              o  Please Bill Me

o  Please charge to:            o  MasterCard              o  Visa

Credit Card Number____________________________ Expiration Date ____­­­­__

Signature_________________________________________________________

Metro Homeless Center – Shalom House, 1040 S. Taylor Ave., St. Louis, MO 63110

Phone:  314-534-1010     Fax:  314-534-2630     www.metrohomelesscenter.org

To download printable version, click here.