The 8th Annual Fundraising Banquet
PITTSBURGH CHAPTER
February 3, 2018
THE DOUBLE TREE in MONROEVILLE, PA
DOORS OPEN at 3:30 pm and Dinner at 6:30 pm
BANQUET TICKET APPLICATION
--Please fill out completely and print legibly—One per person or couple--
Name______
Address ______
City ______State ______Zip ______
Phone # _____ - ______E-Mail ______
Menu Selection: Flat Iron Steak: # _____ Chicken Romano: # _____
____ $75.00 per SILVER Dinner Ticket - includes 1 meal, 1 KECA membership and KECA hat
____ $125.00 per GOLD Dinner Ticket - includes 1 meal, 1 KECA membership, 1 set of Tervis Glasses and $60 in General Raffle tickets
____ $150.00 per PLATINUM Dinner Ticket – includes 1 meal, 1 KECA membership, 1 CRKT Knife and $80 in
General Raffle tickets
____ $250.00 per DIAMOND Dinner Ticket – includes 1 meal, 1 KECA membership, KECA hat, 1 set of Tervis Glasses, 1 CRKT Knife, $160 in General Raffle tickets and 3 Top Shelf tickets.
____ $40.00 per Meal - for Life Members or additional guests/spouse with above DINNER tickets.
____ $45.00 per Youth Single – 17 or under (must be accompanied by an adult) – includes 1 meal and 1 KECA youth membership
____ $310.00 per Couple Sponsor Membership - includes 2 meals and 1 KECA Sponsor membership
____ $280.00 per Single Sponsor Membership - includes 1 meal and 1 KECA Sponsor membership
____ $1,060.00 per Couple Life Membership - includes 2 meals and 1 KECA Life membership –
(option of paying $310 now and 3 quarterly payments of $250)
____ $1,030.00 per Single Life Membership (includes 1 meal and 1 KECA Life membership –
(option of paying $275 now and 3 quarterly payments of $250)
____ $100 Table Sponsor includes one entry into the table sponsor raffle for a fine firearm, for every table sponsored (This offer is a separate Sponsor package from the Corporate Sponsorship Application).
$______Total Order of 2 for 1 General Raffle Tickets – ($20 minimum, in $20 multiples)
($20 strips contain 4 General Raffle and 1 Bonus ticket. For every $100 in General Raffle tickets purchased, you receive 3 Top Shelf tickets)
$______Total Order of Progressive Raffle Tickets – ($20 minimum, in $20 multiples)
($20 per chance on a Ruger American Predator Rifle- 6.5 Creedmore Cal.. Winner of the rifle will progress to the guided Bull/Cow elk hunt drawing on April 26, 2018.)
$______Total Amount Enclosed (PLEASE RSVP BY JANUARY 26, 2018).
____ Check payable to KECA Pittsburgh Chapter
____ Charge to ____ VISA ____ Discover ____ MasterCard
Card # ______Expiration Date ______
Amount $______Signature ______
Mail completed form and checks to: Mike Odasso
1109 Hyde Park Road email:
Leechburg, PA 15656 Phone: 724-525-6515
Ø All pre-purchased dinner and raffle tickets will be held at the door for you the night of the banquet.