Request edit access
Casa Hispana's 26th Scholarship Banquet
Friday, May 4th, 2018
5:00 p.m. to midnight

Liberty Hall, Kimberly
800 Eisenhower Dr., Kimberly, WI 54136

If you arrive at the event and have not made a reservation or already purchased the ticket, you will be charged an extra $5.00 per person/ ticket.

Email address *
Name *
Your answer
Phone Number *
Your answer
Organization
Your answer
Dietary restrictions *
I agree to pay $50.00 per person/ ticket reserved upon arrival. If one or all parties are unable to attend, I understand I am responsible to pay for the total of the tickets reserved and that Casa Hispana will bill me. *
Required
Number of Tickets to be reserved
Map for Liberty Hall
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms