Long Island Ravens MC
 Leather Ball Reservations
Saturday, March 16, 2013
West Lake Inn
322 West Main Street, Patchogue, NY 11779
631-475-1300

$110*
Includes:
4 Course Dinner
5 Hour Open Bar
DJ Dancing
Awards
Silent Auction

You are invited to join the Brothers of the LI Ravens in celebrating our 22nd year of brotherhood, loyalty and pride in the GLBT community.  Join all our friends for our annual Leather Ball Saturday, March 15, 2014, 6 pm - 10 pm.  This year we will be at the West Lake Inn, Patchogue, NY.

Payment may be by Credit Card or Check/Money Order. Cash is accepted only if transmitted directly through a LI Ravens MC full brother (please get a receipt). We process all credit cards through PayPal. They accept American Express, Discover, MasterCard, VISA in addition to PayPal. You do not need to be a member of PayPal to make a credit card payment. If using a credit card, we will request the Credit Card's Security Code. 

Should you wish to spend the night at the Airport Holiday Inn, our special rate is $99 per night, up to 4 people per room.   Make hotel reservations directly with the Holiday Inn, 631-585-9500 .  Additional hotel information at http://PrometheusLI.com/Ravensstore/HotelInformation.htm, or contact our Hotel Coordinator, hotel@liravensmc.org

Mail to:  Long Island Ravens MC, c/o Joe Moran, Reservation Chair, 519 Richland Blvd., Brightwaters, NY 11718.  (Additional information:  telephone 631-969-1542, email registrations@LIRavensMC.org)

  Or register online at: http://prometheusli.com/ravensstore

All tickets will be held at the door.
Name:
 Telephone:
Address:
 City, State, Zip:
Email:
 Organization Affiliation (if any)
I plan to stay at the Holiday Inn:  [ ] Yes    [ ] No Roommates:
Special Dinner Requirements:
Number of Dinner Tickets at $99 each*:
 (Group Table Discount @ $891/10 tickets)
T-Shirts each $15 additional -- please indicate size and quantity.  T-shirts will be available at the door:
  [   ] Small    [   ] Medium    [   ] Large    [   ] X-large    [   ] XX-large
Total Remittance:  $ Payment Method:  [  ] Check/Money Order
[  ] Visa    [  ] Mastercard  [  ] American Express
[  ] Discover
Account Number: Expiration Date:
(mm/yy)		 Security Code:
Name on card:
 Your Signature:
Billing address if different than above:

 

* The cost of a ticket includes $1 per person as a Participating Associate membership fee.  This fee entitles the registrant to all the privileges of Participating Associate membership in the LIRMC, Inc. for a period of three months.

Page revised: December 16, 2013