Saturday, September 9, 2017
Where: Spirit River Community Center,
1321 Heritage Boulevard NE, Isanti, Minnesota
Time: 5:00 Social/Games – 6:15 Program/Dinner
Our banquet reservation list is limited, so fill out the form and mail it in today!
Deadline for registration is August 31, 2017.
Tickets will be distributed at the door / Isanti County Pheasants Forever
28th Annual Banquet Registration Form
**Bring a non-perishable food item for the food shelf! Receive a raffle ticket for each item donated (up to 10 per person)**
Pricing for Membership/Tickets
Complete the name and address information on the back of this form, filling in a name/address for each attendee (member, significant other, youth, etc. that will be attending the banquet). /
- $35 Membership
- $60 Membership/Meal
- $25 Meal Only: Life Member or Membership is Current
- $25 Meal Only (Significant Other)
- $40 Ringneck/Youth Membership/Meal
- $25 Youth Meal Only
- $100 Pre-Buy Rooster Booster Pack
Donor
I will be a Donor. A donor contributes cash or merchandise up to $249.00 and is entered into a donor drawing. One ticket for each $25 donation value.
Cash ______
List Merchandise and Value:
/ Sponsor
I will be a Sponsor. A sponsor contributes cash or merchandise valued at $250 to $499.00 and is entered into a sponsor drawing. A sponsor also receives EITHER:
One membership, one meal, and a half Rooster Booster Ticket Pak
OR a premium gift choice:
$65 PF Marketplace Certificate OR
PF Habitat Print
Cash ______
List Merchandise and Value:
/ Gold Sponsor
I will be a Gold Sponsor. A gold sponsor contributesa cash donation of $500 and is entered into a gold sponsor drawing. A gold sponsor also receives a membership, two meal tickets, a Rooster Booster Ticket Pak AND a premium gift choice.
Cash ______
Premium Gift Choice:
$65 PF Marketplace Certificate OR
PF Habitat Print / Diamond Sponsor
I will be a Diamond Sponsor. A diamond sponsor contributes cash and/or merchandise valued at $750 or more and is entered into a diamond sponsor drawing. A diamond sponsor also receives a membership, two meal tickets, two Rooster Booster Ticket Paks, entry for a 2 person team at the Spring Hunt in 2018, ANDa premium gift choice
Cash ______
List Merchandise and Value:
AND Premium Gift Choice:
$65 PF Marketplace Certificate OR
PF Habitat Print
Complete with the name and address information for each attendee (member, significant other, youth, etc. that will be attending the banquet).
Attendee: Member Lifetime Member or Membership Paid through ______ Youth Significant OtherName: ______/ Address: ______
Phone: ______/ City: ______State ______Zip ______
Email: ______
Attendee: Member Lifetime Member or Membership Paid through ______ Youth Significant Other
Name: ______/ Address: ______
Phone: ______/ City: ______State ______Zip ______
Email: ______
Attendee: Member Lifetime Member or Membership Paid through ______ Youth Significant Other
Name: ______/ Address: ______
Phone: ______/ City: ______State ______Zip ______
Email: ______
Attendee: Member Lifetime Member or Membership Paid through ______ Youth Significant Other
Name: ______/ Address: ______
Phone: ______/ City: ______State ______Zip ______
Email: ______
Payment / On behalf of the Isanti County Pheasants Forever Chapter
“Thank you”
for your support.
Adult Banquet & Membership / #____ x $60.00 = $______/ Donor – Cash / $
Adult Membership Only / #____ x $35.00 = $______/ Sponsor – Cash / $250.00
Meal Only(for current Members) / #____ x $25.00 = $______/ Gold Sponsor – Cash / $500.00
Meal (Significant Other) / #____ x $25.00 = $______/ Diamond Sponsor - Cash / $750.00
Youth Banquet & Membership / #____ x $40.00 = $______/ Donor/Sponsorships /
Total: $
Youth Membership Only / #____ x $15.00 = $______
Youth Meal Only / #____ x $25.00 = $______
Rooster Booster Pre-Buy / #____ x $100.00 = $_____
Membership & Tickets / Total: $
Mail completed form and check(s) to: Pheasants Forever – P.O. Box 28 – Cambridge, MN 55008