retirement/farewell reception event request form

client information

*who is this reception for?
honoree's first name: honoree's last name

*years of employment:

*current title:

*department or office:

lead contact for the reception

* contact name:
contact's first name: contact's last name:

*phone number:

*email address:

event information

*date:

*time:
 12-hour display: am pm

*location:

*has location been confirmed?
yes    no

stop! you cannot submit this form until the location has been confirmed with mark hendrix (mhendrix@nwmissouri.edu or 660.562.1420).

*number of guests expected:

refreshments

these are only suggestions based on cost per person for a reception for 75-100 people. indicate your choices or make requests and the event coordinator will work with the caterer's to stay under the $400 budgeted amount.

sweets:
cake
brownies
cookies
truffle balls
scotcharoos
other
other sweets:

*cake flavor:
white
chocolate
Half & Half

*decorations and/or text on cake:

trays:
fruit tray
veggie tray
cheese and cracker tray

munchies:
zesty chex mix
sweet chex mix
traditional chex mix
mixed nuts
kettle chips with ranch
other
other munchies:

hot dips:
crab rangoo with wonton triangles
Spinach & Artichoke with Pita Chips
other
other hot dips:

cold dips:
humas with pita chips
fruit salsa with cinnamon chips
other
other cold dips:

beverages:
lemonade
tea
water
other
other beverages:

other request:

music playlist

make specific song, genre or artist requests:

decoration requests

make decoration requests: (theme, balloons, color, etc.)