1. No category

A Tasteful Affair 27
Sunday, April 19, 2015
Four Seasons St. Louis - 6th Floor Ballroom
Saint Louis, Missouri
Name:_____________________________________________________________________________
(print your name(s) as you would like it to appear on invitations, event signage, event program book, & Food Outreach’s website)
Address: __________________________________________________________________________
City: ____________________________________
State: __________ Zip: _____________
Phone (Home): __________________________
Email: ____________________________
Phone (Work): ___________________________
Employer: _________________________
The Host pledge selected can be satisfied by ticket sales and/or a contribution.
Additional VIP tickets are sold at a reduced rate to Hosts of A Tasteful Affair 27
____
I pledge to be a $1,000 Universe Host, which includes:




____
Four VIP tickets (valued at $150 each)
Six General Admission tickets (valued at $75 each)
One Complimentary Valet Parking Pass
Invitation to one of two cooking classes at Food Outreach
I pledge to be a $750 Galaxy Host, which includes:
 Two VIP tickets (valued at $150 each)
 Six General Admission Tickets (valued at $75 each)
____
I pledge to be a $500 Solar System Host, which includes:
 Two VIP Tickets (valued at $150 each)
 Two General Admission Tickets (valued at $75 each)
____
Please send my tickets and other materials directly to me.
____
I would like a different combination of tickets, please contact me at ___________________________.
_____ I will pick up my tickets and materials at the Lift-Off Party Thursday, March 12, from 6-8 PM at the
St. Louis Science Center (5050 Oakland Avenue, St. Louis, MO 63110.)

I want to meet my Host commitment now

I am unable to be a Host, please accept this tax-deductible donation of $ _______
 Check (enclosed, payable to Food Outreach)

Bill my credit card $_______ one time only OR monthly for ______ months
American Express
Discover
MasterCard
Visa
Name on Card: ________________________________________________________________
Card Number: _______________________________________ Exp: ___________ CVC: _____
Address: _______________________________________
City: _________________
State: ______ Zip: ______
Please return this completed form by Friday, March 6, 2015 to:
Food Outreach |3117 Olive Street |St. Louis, MO 63103 or Fax it to 314.652.3673
Call Becky Reichardt at 314.652.3663 Ext.117 or email becky@foodoutreach.org with questions.