Reservation Form for Dinner and the Silent Auction Only

Thank you for joining us for our Annual Dan Leach Memorial Fund Fundraising Dinner and Silent Auction! We're honored to be able to continue Dan's passion for supporting youth activities and it wouldn't be possible without people like know that your support is truly appreciated.

Please complete the dinner registration form below, after which you will be directed to PayPal to pay $30.00 for each dinner guest you have listed. Once we have received this form and confirmation from PayPal, we will confirm your reservation with you via email (typically within 2-3 days).

If you haven't heard from us within 5 days, please feel free to contact us via email using the contact form located here or via telephone by calling (702) 294-1113.

And thank you again for supporting the Dan Leach Memorial Fund...we'll see you on at the event!

Additional Dinner Guest Names
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