LAMP Hall of Fame Banquet Thursday, March 22, 2018 @ 6:00pm First Baptist Church 305 South Perry Street Montgomery, Alabama Tables for eight may be reserved for $200.00. Individual seats may be purchased for $25.00 (adult) or $15.00 (student). Tickets must be purchased by March 15 A copy of this form should accompany every reservation

Reservation Name: ____________________________________________________________________ Phone Number: ______________________________________________________________________ Email: ______________________________________________________________________________ ______ Tables for 8

x

$200.00 each =

$__________________________

______ Individual Seats

x

$25.00 each =

$__________________________

______ Student Seats

x

$15.00 each =

$__________________________

Total Enclosed

$__________________________ CASH or CHECK (circle one)

No tickets will be mailed. Reservations will be verified at the event. Mail this form to, with checks payable to LAMPLighters: Mail to:

Evelyn Pope 3608 Lansdowne Drive Montgomery, AL 36111

Purchaser Information (please print): Name: ______________________________________________________________________________ Email: Street Address: _______________________________________________________________________ City, State, ZIP ________________________________________________________________________ A confirmation email will be sent to purchasers who provide an email address. If no email address is provided, a confirmation letter will be mailed to the purchaser.