2005 Sugar River Pheasants Forever Banquet Ticket Application

The Sugar River Valley Chapter of Pheasants Forever will be holding its 18th Annual Banquet at Lelle’s, in Woodford on Saturday Night, October 8th.  Doors will open at 5:00 with Dinner starting at 6:00-7:30 pm.  Auction will start at 8:00 pm.  Please check which type of memberships you want, fill in the names and ages of any youth and the name of your spouse.  Include a check for the tickets and Rooster Bucks you would like.  Use the back of this form for additional memberships.  If you have planted a wildlife food plot, please include the type and numbers of acres planted, so we can include you in our sponsor/food plot provider/committee member banquet later this fall or early this winter. (Date to be set) 

Name________________________________________________________________________

Address______________________________________________________________________

City_______________________State_______Zip Code_______________

Phone______________ E-mail_____________________________

{   }     Annual Chapter Membership    $50 (Includes 1 Banquet ticket and Membership in Pheasants Forever)

{   }     Chapter Sponsorship             $250            (Includes:  National Membership, 2004 Sponsors Print, Additional Spouse or Youth Ticket,  and an Invitation for 2 to the upcoming Appreciation Dinner later this fall or winter)

{   }      Spouse Ticket            $25            (Includes Banquet Dinner Ticket only)

{   }      Youth Ticket    $25   (Includes Banquet Dinner Ticket & Membership in “Ringnecks”

Youth Name____________________ Youth Address_______________________

Youth Birth Date___________________  

{   }       Pheasants Forever Membership      $30  (Includes National Membership only but no Banquet Ticket)

Rooster Bucks:  $150 of Raffle Rooster Dollars for $100 (Deadline Sept. 30th)   # of Rooster Bucks Packages x $100 _____________________

Total price of all Tickets & Rooster Bucks Enclosed $_________

 

Send Ticket Application & check for the correct amount to: 

Sugar River Valley Pheasants Forever

C/O Bob Wesenberg

W8110   Hwy 81

Monroe, WI. 53566

 

Food Plot Acres Planted ____________       Crop Planted________________