Bellevue Rotary Auction, April
Bellevue Rotary Foundation Auction | Dinner | Dancing, April 21, 2012
Title Sponsor: American Family Insurance

Auction R.S.V.P

First Name (REQUIRED)

Last Name (REQUIRED

Address

City

State Zip

Daytime Phone
        

Email (REQUIRED)

Repeat Email (REQUIRED for verification)

MENU (choice of)
Filet Mignon, Halibut Filet, or Artichoke Spinach Ravioli
Make selection below.

This portion pertains to BRC members only!

SPOUSE/PARTNER/GUEST INFORMATION

All BRC members will automatically be billed for 2 auction tickets on their Rotary accounts. The name and meal selection provided in the area directly below apply to those 2 tickets.

Enter the name of your spouse, partner, or personal guest who will be accompanying you to the auction, using one of the 2 tickets for which you are automatically billed. Do not enter this person's name in the Guest Information area.

Spouse/partner/personal guest:

Select two dinner entrées below, one FOR YOURSELF and one FOR YOUR SPOUSE/PARTNER/GUEST. Enter the number in the appropriate box(es) next to your choice(s).

Filet Mignon    Halibut Filet    Ravioli

TICKETS

I wish to support the Bellevue Rotary Foundation with the purchase* of (an) auction ticket(s) ($175 per person/ticket).

ENTER # OF TICKETS:

IMPORTANT: All BRC members will automatically be billed for 2 auction tickets on your Rotary account! Do NOT include those 2 tickets in the number you enter in this field. This number is only for additional guest tickets.

Be sure to scroll down and complete guest information and both member and guest dinner selections.

DONATION

I am unable to attend, however I am making a tax-deductible contribution to the Bellevue Rotary Foundation.

ENTER AMOUNT: $

TOTAL AMOUNT (tickets or donation): $

If you are making a donation only and are not attending the auction, click here to go directly to the payment information.

TABLE INFORMATION

I/we wish to be seated with:
I/we wish to host a table of ten (10)
 

GUEST INFORMATION

The following fields are for the names and address information for guests who are NOT BRC members.

GUEST #1 - Name

Address

City

State Zip

Please select one dinner entrée for each guest and enter the number in the appropriate box next to choice(s).

Filet Mignon    Halibut Filet    Ravioli

GUEST #2 - Name

Address

City

State Zip

Please select one dinner entrée for each guest and enter the number in the appropriate box next to choice(s).

Filet Mignon    Halibut Filet    Ravioli 

GUEST #3 - Name

Address

City

State Zip

Please select one dinner entrée for each guest and enter the number in the appropriate box next to choice(s).

Filet Mignon    Halibut Filet    Ravioli

GUEST #4 - Name

Address

City

State Zip

Please select one dinner entrée for each guest and enter the number in the appropriate box next to choice(s).

Filet Mignon    Halibut Filet    Ravioli 

 

PAYMENT METHOD

Bill my Rotary account.
All BRC members are automatically billed for 2 tickets. There is no need to pay online with your credit card if you only need 2 tickets. Just check the box to bill your Rotary account and submit this form.
 
I am paying by check.
Make payable to "Bellevue Rotary Foundation" and mail to:
Bellevue Rotary Foundation
Attn: Sue Albrecht
PO Box 523
Bellevue, WA 98009
 
I am paying/donating with a credit card online.
After you submit this form, a confirmation page will appear with your total amount for tickets and/or donation (if applicable). Also on that page will be two links for online credit card payment, one for the purchase of tickets and one for donation. If applicable, click on the appropriate link and enter either the number of tickets you are purchasing or the amount you are donating.
 
You will also receive a confirmation email with all the information you submitted on this form.

PLEASE READ: If you get an error page after you submit this form, it means your form has NOT been submitted. You should use your browser's back button and make sure you have entered your name and email address (required fields) and submit the form again. If you have questions about this form, please contact the web flunky.

For more information contact Sue Albrecht, Auction Coordinator.

*The “Fair Market Value” of this event is $68.00 per person.

DELETE THE TEXT IN THE FIELD BELOW

This is a spam protection measure. The field above must be empty or the form cannot be processed. Highlight the prefilled text and delete it or use your backspace key.

If you are a Bellevue Rotary member and are unable to use your two tickets, please enter your name below and click Submit to let the Auction Committee know your tickets can be donated.

NAME

AUCTION ASK LETTER: .doc | .zip (requires BRC login)