2009 Registration Form

Registration Form: Eighteenth Annual Iowa Ball, May 2, 2009
Name(s):__________________________________________________________________

Address: __________________________________________________________________

_________________________________________________________________________

Phone: __________________ e-mail address: __________________________________

Hospitality: Yes ____ No ____ Allergies? ______________________________________

		Cost	Number of Persons	Total Cost
Ball	Adults	$50	______	______
	Students	$40	______	______
Buffet †		$15	______	______
Friday Night Concert *	Adults	$12	______	______
	Students	$9	______	______
			Total	_______

†  Lucullan's special gourmet Italian Lasagna, meat or vegetarian, salads, bread,
    beverages, fruit, snacks.
*  Cost for concert is $15 at the door.

Please make a donation for the Music Workshop or be a Ball Sponsor to keep registration fees down and quality up. **

Music Workshop _____
Ball Sponsor
    Bronze:   $15  _____
    Silver:    $25  _____
    Gold:      $50  _____
    Royal:   $100  _____

All donors and sponsors will be listed on the ball program!
If you wish to be listed as "Anonymous" please check here. ____

** RSCDS Central Iowa Branch is a non-profit charitable organization, and as such, donations are
tax-deductable. We will provide you with a receipt for tax purposes.

Please make checks payable to "RSCDS-CI" and return to Gayle Hoepner, 413 10th Street, Ames, IA 50010.

2009 Ball Page