Our Lady of Mercy 2012 Auction Reservation Form
  1. Advanced seating is available for individuals, couples, and groups of up to 10 people per table.
  2. All tables are reserved with receipt of payment on a first come first serve basis. Entire tables may be reserved with receipt of a payment of $250.00, or reserve an individual seat for $25.00 per person.
  3. Babysitting will cost $15.00 for the first child and $5.00 for each additional child. List the name and age of each child. Babysitting, pizza & drinks provided at the ECC Cafeteria.
  4. Please indicate whether you want an individual bid number or would like to share one with your spouse. If nothing is checked you will be assigned an individual number.

Reservation must be received by February 27, 2012.


Type

Price

Quantity

Table Reservation

$250 a table

Single Ticket

$25 per seat

     Please seat with (Name): 

Babysitting - First Child

$15 (1st child only)

Additional Children

$5 each

Total

Attendees

Name
Address
City, St., Zip
Phone
Bid Number Type Individual
Shared
Babysitting: Child(ren) Names & Ages
Name
Address
City, St., Zip
Phone
Bid Number Type Individual
Shared
Babysitting: Child(ren) Names & Ages


Name
Address
City, St., Zip
Phone
Bid Number Type Individual
Shared
Babysitting: Child(ren) Names & Ages
Name
Address
City, St., Zip
Phone
Bid Number Type Individual
Shared
Babysitting: Child(ren) Names & Ages


Name
Address
City, St., Zip
Phone
Bid Number Type Individual
Shared
Babysitting: Child(ren) Names & Ages
Name
Address
City, St., Zip
Phone
Bid Number Type Individual
Shared
Babysitting: Child(ren) Names & Ages


Name
Address
City, St., Zip
Phone
Bid Number Type Individual
Shared
Babysitting: Child(ren) Names & Ages
Name
Address
City, St., Zip
Phone
Bid Number Type Individual
Shared
Babysitting: Child(ren) Names & Ages


Name
Address
City, St., Zip
Phone
Bid Number Type Individual
Shared
Babysitting: Child(ren) Names & Ages
Name
Address
City, St., Zip
Phone
Bid Number Type Individual
Shared
Babysitting: Child(ren) Names & Ages

400 Marquette Avenue
Baton Rouge, Louisiana 70806
phone 225-924-1054
fax 225-923-2201

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