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   ___________