RSVP for our White Cane Safety Day Event 2023 White Cane Event Contact Name(Required) Company Name (if applicable) Street Address City State ZIP Phone Number(Required) Email(Required) Gold $3,000 - 8 Event Tickets, Recognition in Event Program, Mention in CICBVI Newsletter, Social Media, Website and Peoria Magazine Ad Quantity Price: $3,000.00 Quantity Silver $2,000 - 4 Event Tickets, Recognition in Event Program, Mention in CICBVI Newsletter, Social Media and Website Quantity Price: $2,000.00 Quantity Bronze $1,000 - 2 Event Tickets, Recognition in Event Program, Mention in CICBVI Newsletter, Social Media and Website Quantity Price: $1,000.00 Quantity Individual Tickets Only (No Sponsorship) $100 each. Quantity Price: $100.00 Quantity Please list the name and meal choice of people from your group that will be attending. Guest 1 Name Guest 1 Meal Choice BBQ Beef Brisket with Au Gratin Potatoes, Malibu Blend Vegetables Tuscan Chicken with Long Grain/Wild Rice, Malibu Blend Vegetables Pork Loin with Whipped Potatoes and Gravy, Malibu Blend Vegetables Vegetarian: Penne Pasta with Gouda Sauce & Sun-dried Tomato, Malibu Blend Vegetables Guest 2 Name Guest 2 Meal Choice BBQ Beef Brisket with Au Gratin Potatoes, Malibu Blend Vegetables Tuscan Chicken with Long Grain/Wild Rice, Malibu Blend Vegetables Pork Loin with Whipped Potatoes and Gravy, Malibu Blend Vegetables Vegetarian: Penne Pasta with Gouda Sauce & Sun-dried Tomato, Malibu Blend Vegetables Guest 3 Name Guest 3 Meal Choice BBQ Beef Brisket with Au Gratin Potatoes, Malibu Blend Vegetables Tuscan Chicken with Long Grain/Wild Rice, Malibu Blend Vegetables Pork Loin with Whipped Potatoes and Gravy, Malibu Blend Vegetables Vegetarian: Penne Pasta with Gouda Sauce & Sun-dried Tomato, Malibu Blend Vegetables Guest 4 Name Guest 4 Meal Choice BBQ Beef Brisket with Au Gratin Potatoes, Malibu Blend Vegetables Tuscan Chicken with Long Grain/Wild Rice, Malibu Blend Vegetables Pork Loin with Whipped Potatoes and Gravy, Malibu Blend Vegetables Vegetarian: Penne Pasta with Gouda Sauce & Sun-dried Tomato, Malibu Blend Vegetables Guest 5 Name Guest 5 Meal Choice BBQ Beef Brisket with Au Gratin Potatoes, Malibu Blend Vegetables Tuscan Chicken with Long Grain/Wild Rice, Malibu Blend Vegetables Pork Loin with Whipped Potatoes and Gravy, Malibu Blend Vegetables Vegetarian: Penne Pasta with Gouda Sauce & Sun-dried Tomato, Malibu Blend Vegetables Guest 6 Name Guest 6 Meal Choice BBQ Beef Brisket with Au Gratin Potatoes, Malibu Blend Vegetables Tuscan Chicken with Long Grain/Wild Rice, Malibu Blend Vegetables Pork Loin with Whipped Potatoes and Gravy, Malibu Blend Vegetables Vegetarian: Penne Pasta with Gouda Sauce & Sun-dried Tomato, Malibu Blend Vegetables Guest 7 Name Guest 7 Meal Choice BBQ Beef Brisket with Au Gratin Potatoes, Malibu Blend Vegetables Tuscan Chicken with Long Grain/Wild Rice, Malibu Blend Vegetables Pork Loin with Whipped Potatoes and Gravy, Malibu Blend Vegetables Vegetarian: Penne Pasta with Gouda Sauce & Sun-dried Tomato, Malibu Blend Vegetables Guest 8 Name Guest 8 Meal Choice BBQ Beef Brisket with Au Gratin Potatoes, Malibu Blend Vegetables Tuscan Chicken with Long Grain/Wild Rice, Malibu Blend Vegetables Pork Loin with Whipped Potatoes and Gravy, Malibu Blend Vegetables Vegetarian: Penne Pasta with Gouda Sauce & Sun-dried Tomato, Malibu Blend Vegetables Guest 9 Name Guest 9 Meal Choice BBQ Beef Brisket with Au Gratin Potatoes, Malibu Blend Vegetables Tuscan Chicken with Long Grain/Wild Rice, Malibu Blend Vegetables Pork Loin with Whipped Potatoes and Gravy, Malibu Blend Vegetables Vegetarian: Penne Pasta with Gouda Sauce & Sun-dried Tomato, Malibu Blend Vegetables Guest 10 Name Guest 10 Meal Choice BBQ Beef Brisket with Au Gratin Potatoes, Malibu Blend Vegetables Tuscan Chicken with Long Grain/Wild Rice, Malibu Blend Vegetables Pork Loin with Whipped Potatoes and Gravy, Malibu Blend Vegetables Vegetarian: Penne Pasta with Gouda Sauce & Sun-dried Tomato, Malibu Blend Vegetables
