5th Annual Induction Banquet

Thank you for your interest in attending the Pueblo High School 5th Annual Hall Of Fame
Induction Banquet. To reserve your seat, please fill out the information below.

Select Type of Registration *

Organization Name *

Welcome Honored Guest !!!

Note: If you plan on reserving multiple seats or a table and would like to have your guest's names on our guest list with their assigned table, you will have the opportunity to provide their names at the bottom of this form. Please, have those names available before filling out this form.

Title

First Name *

M.I.

Last Name *

Address 1 *

City *

State *

Postal Code *

Phone *

Email Address

Inductee's Guest

First Name

M.I.

Last Name

Check the box to reserve the Inductee table.
Seats the Honoree, their Guest, and up to 8 others.

Inductee Table ($280 - 8 Additional Guests)

Enter number of additional tables, if needed.

Additional Tables ($350 for 10 Guests)

Enter number of additional guests, if needed.

Additional Individual Guests ($35 per Guest)

Enter number of tables or number of guests.

	Tables ($350 for 10 Guests)
	Individual Guests ($35 per Guest)

Select your method of payment. *

Credit Card (PayPal - 3% Processing Fee. ~$1/guest )

Pay by Check (no processing fee)

Note: If paying by Credit Card a 3% processing fee will be added to your credit card purchase. You do not need a PayPal account to pay with your credit card through PayPal.

You may register for the event and Pay by Check. You will not be charged a processing fee. Instructions on where to mail your check will follow your registration.

Guest List - If possible, enter a name for each seat reserved.

Guest Names 🛈

+-