Please submit the form below to reserve a seat(s) for Connecticut Soccer Hall of Fame's Induction Dinner on Saturday, March 14, 2022.  The form and payment must be submitted to Al Bell by 3/14/22.  19 Florence Lane, Plainville, CT 06082  860-306-6822.

---------------------------------------------------------------------------------------------------------------------------------------------------

CONNECTICUT SOCCER HALL OF FAME                               

                       MEMBER RSVP

Saturday, April 2, 2022, The Hook and Ladder, North Haven, CT  

VIP Reception: 5:30 pm     Dinner: 6:30 pm

Name_____________________________________________

Address___________________________________________

City____________________________State______Zip______

Phone#____________________________________________
Email______________________________________________

Dinner Tickets:

Member  (*1 complimentary ticket)   

* Pls. consider donating $30 to offset this year's expenses and

become a "patron."

*Member donation                                          $__________

# of Additional 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 3/14/22

CSHOF, Al Bell

19 Florence Lane,  Plainville, CT 06062

                                             NAMES OF GUESTS

1.__________________________________________________

2.__________________________________________________

3.__________________________________________________

4.__________________________________________________

5.__________________________________________________

6.__________________________________________________

7.__________________________________________________

8.__________________________________________________

9.__________________________________________________

10._________________________________________________

# of chicken dinners      ___________

# of vegetarian dinners ___________

# of children’s dinners   ___________