BILL HOBBY BIRTHDAY ROAST AND TOAST
JANUARY 21, 2015
Please PRINT name exactly as you wish it to appear in printed materials
Name: ______________________________________________________________________________________________________
Address: _____________________________________________________________________________________________________
City: _________________________________________State: _________________________________ Zip: ____________________
Home Phone: _______________________________________ Work Phone: ______________________________________________
Email: ______________________________________________________________________________________________________
Please reserve the following:
Table for 10
Individual Tickets
$50,000
Presidential
$25,000
Gubernatorial
$1,000
Bi-Partisan Couple
$10,000
Senatorial
$250
Single Issue Voter
$5,000
Representative
I/We are unable to attend, but enclosed is my gift of $_________ In honor of: ___________________________________________
Please charge my credit card:
Visa
MasterCard
AmEx
Discover
Card Number: _________________________________________________________________________Exp._________/__________
Name on Card: _______________________________________________________________________________________________
Signature: ___________________________________________________________________________________________________
Please list guests on reverse side
GUESTS
Name 1 _________________________________________________________________________________________________
Name 2 _________________________________________________________________________________________________
Name 3 _________________________________________________________________________________________________
Name 4 _________________________________________________________________________________________________
Name 5 _________________________________________________________________________________________________
Name 6 _________________________________________________________________________________________________
Name 7 _________________________________________________________________________________________________
Name 8 _________________________________________________________________________________________________
Name 9 _________________________________________________________________________________________________
Name 10 ________________________________________________________________________________________________
THANK YOU
Please return to Ellen Happe Phillips
University of Houston, Office of Development
402 Agnes Arnold Hall
Houston, Texas 77204-3000
Fax: (713) 743-0198
lnray@uh.edu
For more information, please call Ellen at (713) 743-4016
HC37519HA111 / AIBUJ