Latino Dollars for Scholars

Foundation of Rhode Island
15th Annual Awards Banquet
Thursday, January 8, 2009  6pm The Providence Marriott

Thank you for registering online!  Your information has been received electronically.

 

To Complete Banquet Registration,

 

  1. Click here to make a secure online payment using change.org (preferred method)

or

  1. Print and complete this form and mail Payments to address below or you can pay at the door with either cash or check.

 

 

 

   No, I will not be able to attend.  Enclosed is my tax-deductible donation of $_______

   Yes, I will attend, at the following sponsorship level:
      $ 450 Table Sponsor (seats 10)
      $100 Patron Sponsor
      $50 Dinner Guest

                                            ______# of persons attending x $ _____ =$_______ Total Enclosed

 
Name:   . Organization:   .
Address:   .
City:   .

State:

 . 

Zip Code:

    .
Phone:   .

Email:

   .

 

To Complete Banquet Registration,

print and complete this form and mail Payments to:  

Latino Dollars for Scholars
P.O. Box 6764
Providence, RI 02940
banquet@ladori.org
www.ladori.org
 

Home                Contact Us