Bethel Education Foundation

Barnum Ball Reservation Form
An easy way to make your online reservation to attend this year's Barnum Ball. A confirmation email will be sent to you within 48 hours upon receipt. Tickets will not be sent.

Prefix

Name *

First

Last

Address *

Street Address
Address Line 2
City	State / Province / Region
Postal / Zip Code	Country

Email *

Daytime Phone *

###

####

Evening Phone

###

####

Meal Choice (for yourself) *

Payment options

I will pay via PayPal (click PayPal below)

I will send a check payable to "Bethel Education Foundation" and mail to PO Box 92, Bethel, CT 06801

Number of tickets *

Now list who besides yourself is included in this reservation and will be paid for in this reservation.

Name of guest #2

First

Last

Meal choice for Guest #2

Name of guest #3

First

Last

Meal choice for Guest #3

Name of guest #4

First

Last

Meal choice for Guest #4

Name of guest #5

First

Last

Meal choice for Guest #5

Name of guest #6

First

Last

Meal choice for Guest #6

Name of guest #7

First

Last

Meal choice for Guest #7

Name of guest #8

First

Last

Meal choice for Guest #8

Name of guest #9

First

Last

Meal choice for Guest #9

Name of guest #10

First

Last

Meal choice for Guest #10

Seating preference: (Please state who you would like to be seated with. This would include other attendees not included in your reservation.)

Do you have any questions?

EMF Contact Form

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