Yes! Count Me In

The 13th Annual UCSD Christini Fund Event
Wednesday, October 5, 2011
at the Robert Paine Scripps Forum

Cocktails and Silent Auction - 6:00pm
Dinner and Live Auction - 7:30pm
Attire -Evening Beach Casual

 
  * Indicates a field that must be entered to process
Individual: Please reserve   for dinner at $200 per individual
Couple: Please reserve   for dinner at $375 per couple
Table: Please reserve   for 10 at $1800 per table
Please place us with these friends:        
First Name:   *   
Last Name:   *   
Company:  
Address:   *   
City:   *   
State:   *  Zip:   *   
Email:   *   
Home Phone:   * e.g. (XXX)XXX-XXXX   
Work Phone:    e.g. (XXX)XXX-XXXX  
Individual Total:
Couple Total:
Table Total:
 

The Robert Paine Scripps Seaside Forum

Address:
The Robert Paine Scripps Seaside Forum
8610 Kennel Way, La Jolla, CA 92037