Please submit the reservation form below to reserve seats for Connecticut Soccer Hall of Fame's Induction Dinner on Saturday, January 28, 2023. Please send your checks to Al Bell, by January 10, 2023.
19 Florence Lane, Plainville, CT 06082
860-306-6822.
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CONNECTICUT SOCCER HALL OF FAME
Member and Guest Reservation
Saturday, January 28, 2023, DoubleTree, Bristol, CT
VIP Reception: 5:30 pm Dinner: 6:30 pm
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 1/10/2023
CSHOF, Al Bell
19 Florence Lane, Plainville, CT 06062 860-306-6822 (cell)
(Please complete the names of member/guests.)
CONNECTICUT SOCCER HALL OF FAME
NAMES OF GUESTS
1.__________________________________________________
2.__________________________________________________
3.__________________________________________________
4.__________________________________________________
5.__________________________________________________
6.__________________________________________________
7.__________________________________________________
8.__________________________________________________
9.__________________________________________________
10._________________________________________________
# of chicken dinners ___________
# of vegetarian dinners ___________
# of children’s dinners ___________