Eights\h Annual Mexican Fiesta

Registration

Please print this form.

Yes, I plan to attend!
No, I can't attend, but I'd like to show my support.

  Quantity Type of reservation Total
Please register _______ Single @ $50 (admits 1) ___________
  _______ Couple @ $90 (admits 2) ___________
  _______ Child 12-16 @ $25 per child ___________
  _______ Child under 12 @ Free! ___________
  _______ Bronze @ $200 (admits 3) ___________
  _______ Silver @ $300 (admits 4) ___________
  _______ Gold @ $500 (admits 8) ___________
I'd like to make a donation in this amount to support your important work ___________
    Grand Total ___________

Please hold this registration at the door in the name of _____________________________

Email Address: _________________________________ Phone: ____________________

Make your check payable to "Elena Macias Foundation." Complete this form and mail it with your check to:

Elena Macias Foundation • 2307 Harewood Dr. • Livermore CA 94551