Gala X Reservation Form

Mr., Mrs., or Ms. __________________________________________________
Business Name (if applicable) _______________________________________
Email to confirm __________________________________________________
Yes, I plan to attend the LNLFSR Gala X - Number attending _______

_____ Gold Sponsor (seats 16) - $3,000 2 premium tables, recognition in program, signage, & newsletter
_____ Silver Sponsor (seats 8) - $1,500 1 preferred table, recognition in program, signage, & newsletter
_____ Bronze Sponsor (seats 8) - $1000 1 preferred table, recognition in program and newsletter
_____ Attendee - $125/person
_____ Additional / Other Contribution $________

_____ Please contact me about a named scholarship or research fund
opportunity with the LNLFSR.

Please respond by June 15. Make checks payable to LNLFSR.
Mail this Reservation Form and payment to:
Louisiana Nursery & Landscape Foundation, 126 Bertel Dr., Covington, LA 70433

Credit Card purchases can be made by calling Cari Jane at 985-237-2939

For federal income tax purposes, only the excess paid over the value of dinner(s)
received is deductible. The fair market value of each dinner is estimated at $90.

Hotel recommendation:  Country Inn and Suites, Metairie, LA  (504) 372-0747