Clone of Farm to Table Dinner: Ticket Purchase Form

Payment*

Dinner Ticket — Chicken Entrée

Includes a five-course meal, featuring a chicken entrée, select wine pairings, and desserts.

$150.00 Quantity

Dinner Ticket — Beef Entrée

Includes a five-course meal, featuring a beef entrée, select wine pairings, and desserts.

$150.00 Quantity

Dinner Ticket — Vegetarian Entrée

Includes a five-course meal, featuring a vegetarian entrée, select wine pairings, and desserts.

$150.00 Quantity

I am unable to attend but want to donate.

$50.00 Donation Amount

Subtotal

$0.00

Tax

$0.00

Total

$0.00

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Guest Name(s): If applicable, please provide the names of any accompanying guest — not including yourself.*
Should be Empty: