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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 *
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Phone Number *
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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. *
Number of Tickets to be reserved
Map for Liberty Hall
A copy of your responses will be emailed to the address you provided.
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