GET YOUR FRIENDS TOGETHER FOR A NIGHT OF FUN, FOOD & TRIVIA! Contact Name First Last Email(Required) PhoneBusiness Name (if Applicable) TEAM NAME Team Member #1 Team Member #4 Team Member #2 Team Member #5 Team Member #3 Team Member #6 Fee $450 per team (fee is the same for less than 6 team members or no meal selection), includes plated meal for each team member.# of meals: Pan seared Chicken supreme stuffed with lemon herb compound butter served with Truffled Chardonnay pan jus.123456# of Gluten free meals123456# of Vegetarian meals: Lemon Ricotta Gnocchi123456# of Vegan meals: Wild mushroom risotto with walnuts, baby arugula, and heirloom tomatoes finished with coconut cream123456Event format: Doors open at 5:30 pm in lower level of the Insignia Hotel Christina St. Sarnia, where meal tickets will be given to the team contact. Dinner is served at 6pm. Trivia begins at 6:45 pm /7pm in the Richmond Room, lower level. Silent auction, cash bar in the Drawbridge Room, door prizes, 50/50. Please complete the registration form to reserve your table and meal selections by Sept 6th and send to Adelle Richards via: Email – adelle@sdhumane.ca Mail : Sarnia Humane Society, Attn Adelle :131 Exmouth St. Sarnia On N7T 7W8 Drop off : 131 Exmouth St. to Adelle Team fee: (credit card, cheque, e-transfer, cash)- deadline Sept 16th Telephone – 519-344-7064 x 207 Drop off – Sarnia Humane Society 131 Exmouth St – Attn Adelle Mail – Sarnia Humane Society 131 Exmouth St. N7T 7W8 – Attn Adelle Team registration and meal selections deadline : September 6th Team payment deadline: September 16th
