DJ's Hero Awards Luncheon

Fields with an asterisk (*) are required:
*First Name:
*Last Name:
*Zip Code:
*Day Phone:
Cell or Business Phone:
*Number of reservations required (Cost is $85 per person):
Request a table (10 seats for $850):
Number of tables requested:
If requesting a table, please list guests:
I will not be able to attend, but would like to make a contribution of:
For information on sponsorship levels please call 402-898-5906
Please remember your reservation will not be processed until payment is received.