Media Hall Tent Reservation Form & Billing Information
Name of organization contracting for meals:
Contact person:
Address:
Phone:
E-mail:
Cost
Mon.-Tues.-Wed.—$45.00 (Breakfast-Lunch-Dinner)
Thursday—$28.75 (Breakfast-Lunch)
Friday—$9.25 (Breakfast)
# of people Monday (at $45) _______ = _______
# of people Tuesday (at $45) _______ = _______
# of people Wednesday (at $45) _______ = _______
# of people Thursday (at $28.75) _______ = _______
# of people Friday (at $9.25) _______ = _______
TOTAL TO BE CHARGED: ___________
CREDIT CARD #: ____________________________
Exp. Date:
Name on Card:
Send reservation form to Mona Wyatt, Director of Donor Relations, Centre College.
FAX: (859) 236-9610; Email: wyattm@centre.edu; or for information, phone (859) 238-5345.
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For Centre Use:
Date Paid: ________________________ |