Roy's Anniversary Celebration
Reservations Form

Join us July 15th for our annual Roy's Anniversary Celebration.
Founder and Award Winning Chef, Roy Yamaguchi and Roy's Jacksonville Beach
Executive Chef Chris Faurie along with other celebrity chefs will be
presenting exciting, exotic foods for the evening festivities. Enjoy live
music, hula and fire dancing, tropical drinks, fine wine and fabulous
evening of fun! The evening is sponsored by Roy's Restaurant Jacksonville
Beach, Southern Wine & Spirits and Rosenblums. There will be silent auction
items for your shopping pleasure.

Please provide the following information:

First Name: Last Name: *required
Mailing Address:
City, State, Zip:
Phone #:
E-mail: *required
Confirm E-mail Address:

 

*required

Please Select the Number of Tickets:

Tickets - $100 per person.Proceeds will benefit the Foundation

Please make your check payable to Monique Burr Foundation
Bring it to the event.

Corporate sponsorshipsfor this event are welcomed.
The Monique Burr Foundation for Children, Inc. is a 501 (3) organization (No. 17053300056048.
For more information contact Barbara Florio at 642-0210. bflorio@moniqueburrfoundation.org . fax number 642-0260.

Monique Burr Foundation for Children, Inc. * 7807 BAYMEADOWS RD. E., SUITE 205 * Jacksonville, FL 32256 * Phone: (904) 642-0210 * www.moniqueburrfoundation.org