* indicates a required field

*Name:
*Address:
*City:
*State:
*Zip:
*Phone:
*Email:

Son's Name:
Oldest Son's Grad Year:
I am a member of the 2017 Brophy Fashion Show committee:

Part 2: Tickets

I would like to purchase the following seats/table (table capacity is 10 seats - individual tables need to be purchased separately):

Luncheon seats at $150 each ($1,500 per table)

Preferred seats at $275 each ($2,750 per table)

Runway seats at $400 each ($4,000 per table)

Purchase of a table entitles you to recognition in the Brophy Fashion Show Program
if payment is received by Oct 5th, 2017.

Table host name(s) to appear in the Brophy Fashion Show Program:

Please note that Brophy can only issue tax receipts to persons who purchase tickets directly online from Brophy.

The value of each meal provided is $40. Please consult your tax advisor for the deductibility of your payment.

***For questions about reservations, please contact

Anne Couture
602-616-1572
Kara Peterson
928-899-8761

Part 3: Guest Information. Please select one of the following three options (required):

My Name
First:
Last:
Full name(s) of guest(s) at my table for which I HAVE included payment
Full name(s) of guest(s) at my table for which I HAVE NOT included payment
**Please note that a table will not be assigned until payment has been received for all guests
Are you sitting at a table with a coordinator?
Name of Table Coordinator -
First:
Last:
Full name(s) of guest(s) for which I HAVE included payment
If possible, please seat me near the following guests for which I HAVE NOT included payment: (max of two requests):

Part 4: Raffle Tickets:

Fashion show raffle tickets must be purchased in a separate transaction:
Purchase Fashion Show Raffle Tickets
Raffle tickets will also be on sale prior to and during the event. For more information please contact Joo Cantor

Part 5: Additional Contributions to the Brophy Financial Aid Fund Information

I would like to make an additional donation of $.00
*Contributions of $250 or more will receive recognition in the Brophy Fashion Show Program
*All donations to the Brophy Financial Aid Fund are 100% tax deductible.

Grand Total $.00