Reservations

Tuesday
March 24, 2015
Doors Open at 5:00 p.m.
Dinner at 7:00 p.m.
Bayside Supper Club
W9231 County Truck G ~ Beaver Dam
$45/Person
Prime Rib or Seafood Platter
with Baked Potato, Vegetable,
Salad, Coleslaw & Coffee
Invite your friends, family and neighbors
to join the fun!
100 Door Prizes ~ Minimum $50 Value each
Games ~ Auctions ~ Raffles
Prizes of Cash and Merchandise Worth Over $20,000
SPECIAL OFFER
Bonus Packet includes $200 worth of raffle tickets for only $100
------------------------------------------------------------------------------------------------------------------RESERVATION FORM
- Deadline for reservations is March 10, 2015 –
Return to: BDLIA, PO Box 33, Beaver Dam, WI 53916
Dinner:
_____(# of tickets) @ $45.00:
_____# of Prime Rib Dinners
_____# of Seafood Platters
$__________
Payment (You may call in your CC Info):
□ Check □ Master Card □ Visa □ Discover
CC #_______________________________________
Other:
_______________________________ $__________
Support (Tax Deductible):
□ $500 □ $300 □ $150
□ $50 □ Other
$__________
Total Amount:
$__________
Expiration Date_______________ CVC#___________
Signature____________________________________
Make checks payable to BEAVER DAM LAKE
IMPROVEMENT ASSOCIATION. If you have any
questions, please call 920-356-1200 or email
[email protected]
th
Your dinner ticket will be mailed to you. Raffle Packet(s) will be available at Registration on March 24 .
Name:________________________________________
Phone:_______________________________________
Address:__________________________________________________________________________________________
Billing Address (If Different):__________________________________________________________________________
City/State/Zip:__________________________________
Email:________________________________________