Justice Is Served Dinner

SAVE THE DATE!

Tuesday, April 10, 2012

6:00 PM

MCM Elegante

Seating is limited

For more information call 409-832-2272

Print and mail reservation and donation information below.

Online Reservations and Donations Available by clicking here!

Please print name exactly as you would like it acknowledged.

Name or Business Name ____________________________________________________________

Address __________________________________________________________________________

City ______________________________ State _______________ Zip Code __________________

Telephone ___________________________ Email ________________________________________

I would like to honor Sister Emily and support CASA with my purchase of:

Reservations

__________ Guardian $10,000 - 2 tables of 8. Your sponsorship provides services to 10 children.

__________ Hero $5,000 - 1 table of 8. Your sponsorship provides services to 5 children.

__________ Mentor $2,500 - 1 table of 8. Your sponsorship provides services to 3 children.

__________ Advocate $1,000 - 1 table of 8. Your sponsorship provides underwriting for 1 child.

__________ Individual Friend Seat - $ 75.

___________ I would like to make an additional tax-deductible gift of $ _________.

___________ I am unable to attend but am willing to make a tax-deductible gift of $ _________.

Please print below and mail making check payable to CASA of Southeast Texas, Inc. or charge to:

____ Visa

____ M/C

____ AmEx

____ Discover

Credit Card # ______________________________________________________

Name on Credit Card ________________________________________________

Billing Address of Card Holder _________________________________________

_________________________________________

Expiration Date _____________________ Security Code ___________________

Signature of Card Holder _____________________________________________

Mail or Fax to (409) 832-8260.
(CASA, 2449 Calder Ave., Beaumont, TX 77702)

Contributions of $1,000 or more will be acknowledged in the event program,

if received by March 27, 2012.

A night of food, fellowship, entertainment and fun served by Jefferson County Judges.