Facebook Instagram

2019 Regional Banquet RSVP

- Banquet Series '19
  - Regional Banquet RSVP
  - An Evening with Mike Ditka
Sponsors

Presenting Sponsor

Event Sponsors

Diocese of Madison
Regional Banquet Info

All banquets are free of charge to attend. There will be a social hour followed by dinner and a program to share the great works the Lord has been doing here in Platteville. Semi-formal attire is suggested. If you wish to help with the success of the banquets, please consider signing up as a "Table Host" to assist us in inviting those who might care to support our mission. Direction on roles of a Table Host will be given by the director well before the event. If you have any questions please contact blaine@pioneercatholic.org.

**An Evening with Mike Ditka suggested donation is $50.00.

The maximum number of form submissions has been reached. This form is currently not available.
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Home Address REQUIRED Please fill out this field. Please enter valid data.
- City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
- Phone Number REQUIRED Please fill out this field. Please enter a phone number.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Banquet(s) You Wish to Attend REQUIRED
  All Regional Banquets are FREE to attend.
  La Crosse Banquet - September 26, 2019 Dubuque Banquet - October 3, 2019 Madison Banquet - October 10, 2019 Please fill out this field.
- Will you consider being a Table Host? REQUIRED
  A Table Host agrees to help PioneerCatholic invite additional people from their region and personal network to fill a TABLE of 8.
  Yes No Please fill out this field.
- How did you hear of this event? (Select all that apply) REQUIRED Mailed Invitation E-Newsletter Personal Invite Social Media Radio Advertising Catholic Herald Article Platteville Journal Article Parish Bulletin Other Please fill out this field.
- Number of Additional Guests REQUIRED Please fill out this field.
  
  Additional Guest 1
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Email Address Please enter valid data.
  
  Phone Number Please enter valid data.
  
  Additional Guest 2
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Email Address Please enter valid data.
  
  Phone Number Please enter valid data.
  
  Additional Guest 3
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Email Address Please enter valid data.
  
  Phone Number Please enter valid data.
  
  Additional Guest 4
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Email Address Please enter valid data.
  
  Phone Number Please enter valid data.
  
  Additional Guest 5
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Email Address Please enter valid data.
  
  Phone Number Please enter valid data.
  
  Additional Guest 6
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Email Address Please enter valid data.
  
  Phone Number Please enter valid data.
  
  Additional Guest 7
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Email Address Please enter valid data.
  
  Phone Number Please enter valid data.
  
  Additional Guest 8
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Email Address Please enter valid data.
  
  Phone Number Please enter valid data.
  
  Additional Guest 9
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Email Address Please enter valid data.
  
  Phone Number Please enter valid data.
  
  Additional Guest 10
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Email Address Please enter valid data.
  
  Phone Number Please enter valid data.
Submit