2025 Annual Dinner Reservation Step 1 of 2 50% Please choose your reservation: New CASE Member and Guest(s) CASE Member and Guest(s) Student Awardee and Guest(s) 2025 Honorary Member and Guest 2025 Medalist and Guest CASE Council Member Invited Guests and General Reservations Annual Dinner Sponsor Reservation Information - New CASE MemberCongratulations on becoming a member of the Academy. A reservation for you and a guest to attend the Annual Dinner is complimentary. New CASE Member Name First Last Company / OrganizationEmail Adress Mobile Phone NumberBy providing your mobile number and submitting this form, you agree to receive calls and/or text messages from CASE related to the 2025 Annual Dinner. Message and data rates may apply. You can opt-out at any time by replying STOP. View our Privacy Policy here: https://ctcase.org/privacy-policy/.Vegetarian entreéWe will be serving a chicken entrée for the main course. A vegetarian entrée will be available. Please indicate if you require a vegetarian entreé. Yes No I would like to register a guest: Yes No Member Guest ReservationGuest Name First Last Company / OrganizationVegetarian entreéWe will be serving a chicken entrée for the main course. A vegetarian entrée will be available. Please indicate if your guest requires a vegetarian entreé. Yes No Reservation Information - CASE Members and GuestsMember Name First Last Company / OrganizationEmail Adress Mobile Phone NumberBy providing your mobile number and submitting this form, you agree to receive calls and/or text messages from CASE related to the 2025 Annual Dinner. Message and data rates may apply. You can opt-out at any time by replying STOP. View our Privacy Policy here: https://ctcase.org/privacy-policy/.Vegetarian entreéWe will be serving a chicken entrée for the main course. A vegetarian entrée will be available. Please indicate if you require a vegetarian entreé. Yes No I would like to register a guest: Yes No For each guest, please provide the guest name, company / organization, and whether a vegetarian entreé is required.Guest First NameGuest Last NameGuest Company / OrganizationVegetarian Entreé (Y/N) Add RemoveReservation(s) Quantity Price: $100.00 Quantity Total Reservation Information - Student AwardeeAll student awardees receive a complimentary reservation, as well as complimentary reservations for two (2) parents/family members and one (1) teacher. Additional reservations are $100.00 per person. Student Name First Last SchoolEmail Adress Mobile Phone NumberBy providing your mobile number and submitting this form, you agree to receive calls and/or text messages from CASE related to the 2025 Annual Dinner. Message and data rates may apply. You can opt-out at any time by replying STOP. View our Privacy Policy here: https://ctcase.org/privacy-policy/.Vegetarian entreéWe will be serving a chicken entrée for the main course. A vegetarian entrée will be available. Please indicate if you require a vegetarian entreé. Yes No Reservation Information - Parent/Family and TeacherParent / Family Member Name First Last Vegetarian entreéWe will be serving a chicken entrée for the main course. A vegetarian entrée will be available. Please indicate if you require a vegetarian entreé. Yes No Parent / Family Member Name First Last Vegetarian entreéWe will be serving a chicken entrée for the main course. A vegetarian entrée will be available. Please indicate if you require a vegetarian entreé. Yes No Teacher Name First Last SchoolVegetarian entreéWe will be serving a chicken entrée for the main course. A vegetarian entrée will be available. Please indicate if you require a vegetarian entreé. Yes No I would like to register additional guest(s): Yes No Reservation Information - Student Awardee Guest(s)Guest reservations are $100 per person. For each guest, please provide the guest name, company / organization, and whether a vegetarian entreé is required.Guest First NameGuest Last NameGuest Company / OrganizationVegetarian Entreé (Y/N) Add RemoveAdditional Guest Reservation(s) Quantity Price: $100.00 Quantity Total Reservation Information - 2025 CASE Honorary Member & GuestCongratulations on becoming named the 2025 CASE Honorary Member! A reservation for you and a guest to attend the Annual Dinner is complimentary.Honorary Member Name First Last Email Mobile Phone NumberBy providing your mobile number and submitting this form, you agree to receive calls and/or text messages from CASE related to the 2025 Annual Dinner. Message and data rates may apply. You can opt-out at any time by replying STOP. View our Privacy Policy here: https://ctcase.org/privacy-policy/.Vegetarian entreéWe will be serving a chicken entrée for the main course. A vegetarian entrée will be available. Please indicate if you require a vegetarian entreé. Yes No Guest Name First Last Company / OrganizationVegetarian entreéWe will be serving a chicken entrée for the main course. A vegetarian entrée will be available. Please indicate if you require a vegetarian entreé. Yes No Reservation Information - 2025 Connecticut Medal of Science Recipient and GuestCongratulations on receiving the 2025 Connecticut Medal of Science! A reservation for you and a guest to attend the Annual Dinner is complimentary.Medalist Name First Last OrganizationEmail Mobile Phone NumberBy providing your mobile number and submitting this form, you agree to receive calls and/or text messages from CASE related to the 2025 Annual Dinner. Message and data rates may apply. You can opt-out at any time by replying STOP. View our Privacy Policy here: https://ctcase.org/privacy-policy/.Vegetarian entreéWe will be serving a chicken entrée for the main course. A vegetarian entrée will be available. Please indicate if you require a vegetarian entreé. Yes No Guest Name First Last Company / OrganizationVegetarian entreéWe will be serving a chicken entrée for the main course. A vegetarian entrée will be available. Please indicate if you require a vegetarian entreé. Yes No Reservation Information - CASE Council MemberMedalist Name First Last OrganizationEmail Mobile Phone NumberBy providing your mobile number and submitting this form, you agree to receive calls and/or text messages from CASE related to the 2025 Annual Dinner. Message and data rates may apply. You can opt-out at any time by replying STOP. View our Privacy Policy here: https://ctcase.org/privacy-policy/.Vegetarian entreéWe will be serving a chicken entrée for the main course. A vegetarian entrée will be available. Please indicate if you require a vegetarian entreé. Yes No Invited Guests and General Dinner ReservationsStatement of Event Cost: Employees of the State of Connecticut and other agencies/organizations not able to accept gifts from the Academy should be advised that the cost of this event is $100 per person. If you need to pay for your ticket, the preferred payment method is via credit card. To pay by check, please choose the “invoice” option below. Reservation Name First Last OrganizationEmail Mobile Phone NumberBy providing your mobile number and submitting this form, you agree to receive calls and/or text messages from CASE related to the 2025 Annual Dinner. Message and data rates may apply. You can opt-out at any time by replying STOP. View our Privacy Policy here: https://ctcase.org/privacy-policy/.Vegetarian entreéWe will be serving a chicken entrée for the main course. A vegetarian entrée will be available. Please indicate if you require a vegetarian entreé. Yes No I would like to register additional guest(s): Yes No For each guest, please provide the guest name, company / organization, and whether a vegetarian entreé is required.Guest First NameGuest Last NameGuest Company / OrganizationVegetarian Entreé (Y/N) Add RemoveReservation(s) Quantity Price: $100.00 Quantity Total Annual Dinner SponsorshipSponsor Level Table Sponsor (4 seats): $1,200.00 Silver Sponsor (6 seats): $2,500.00 Gold Sponsor (8 seats): $5,000.00 Platinum Sponsor (10 seats): $10,000.00 OrganizationReservation Name First Last Email Mobile Phone NumberBy providing your mobile number and submitting this form, you agree to receive calls and/or text messages from CASE related to the 2025 Annual Dinner. Message and data rates may apply. You can opt-out at any time by replying STOP. View our Privacy Policy here: https://ctcase.org/privacy-policy/.Vegetarian entreéWe will be serving a chicken entrée for the main course. A vegetarian entrée will be available. Please indicate if you require a vegetarian entreé. Yes No For each guest, please provide the guest name and whether a vegetarian entreé is required.Guest First NameGuest Last NameVegetarian Entreé (Y/N) Add RemoveTotal Method of PaymentPlease indicate whether you will be paying via credit card, or if you would prefer that CASE send an invoice. We would like to pay via credit card Please send us an invoice
