Please submit the form below to reserve a seat(s) for Connecticut Soccer Hall of Fame's Induction Dinner on Saturday, April 2, 2022.  The form and payment must be submitted to Al Bell by March 14, 2022.                                                          

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             CONNECTICUT SOCCER HALL OF FAME                   

                                       GUEST RSVP

Saturday, Apr. 2, 2022 – The Hook and Ladder, North Haven, CT__________________________________

 Cash Bar Reception: 5:30 pm     Dinner: 6:30 pm

(Name of Inductee) _________________________________________________

Name_____________________________________________

Address___________________________________________

City____________________________State______Zip______

Phone#____________________________________________
Email______________________________________________

Dinner Tickets:

# of  Tickets ___    @ $60 each                       $__________

# of children (12 & under) ___@ $30 each   $ _________

Advertising and Sponsorship

Patron  Listing in Program     $30 per listing  $_________

Patron Listing should read ________________________

Gold Sponsorship  $1,000                                 $_________

(includes table of 10, full page ad and listing as Gold Sponsor in program)

Full Page Ad                        $400                            $_________

½ page Ad                            $200                            $_________

¼ page Ad                            $100                            $_________

Total amount enclosed                                          $_________ 

Return by 4/2/22

CSHOF, Al Bell, 19 Florence Lane, Plainville, CT 06062

860-306-6822

                                             NAMES OF GUESTS

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# of chicken dinners      ___________

# of vegetarian dinners ___________

# of children’s dinners   ___________