Colorado Springs Nightingale

~Dinner Reservation~

 

Nightingale

'Celebrating Nursing Excellence'

  

 

Dinner Reservation Form

Nightingale Awards

Friday, March 12, 2010

Social Hour 6:30 - 7:15 p.m

Dinner and Program 7:15 - 10:00 p.m

Crown Plaza Hotel

2886 South Circle Drive Colorado Springs, CO Phone: (719) 576-5900

 

Cash Bar

 

Please join the Colorado Springs Professional Nursing Community

to honor these special individuals.

 

Silent auction will take place during the social hour  -  Checks, cash, or credit

Your donation will be appreciated for future Nightingale Events

 

 

 

***************************Make extra copies****************************

Each person attending must have completed a reservation form. 

Name:
Address:
City:
State:
Zip:
Day Phone:
Work phone:

Please circle your choice of Entree:

Baked Atlantic Salmon
Grilled London Broil
Pesto Pasta Primavera

Cost of dinner: $35.00
Donation: $      
Total: $      

Checks or cash only for dinner.
Return reservation form and payment to:
 (Make Checks payable to: Nightingale Committee)
Nancy Rudisill
4427 Winding Circle
Colorado Springs, CO 80917
(719) 380-1016 or (719) 365-5996

Reservation Deadline: March 5, 2010

Cancellation Deadline: March 8, 2010

* We are sorry but we can no longer accept reservations via email.