12th Annual LGBTQA History Month Dinner
October 30, 2014
The Cornhusker Hotel, 6:30 pm
346 Nebraska Union
Lincoln, NE 68588-0453
Phone: 402.472.1652
Fax: 402.472.8140
Dear LGBTQA+ Resource Center Supporters,
On behalf of the LGBTQA Resource Center and the UNL Committee for GLBT Concerns, we would like to formally invite
you and/or representatives from your business, organization or department to attend UNL’s 12th Annual LGBTQA
History Month Dinner. The dinner will be held Thursday, October 30th, at The Cornhusker Hotel. Please complete the
following co-sponsorship form and reserve your table by October 2nd to guarantee inclusion in the program!

Group tables: Please indicate whether you would like a whole (10 seats) or half table (5).

Advertising: We have reduced rates on program ads with the purchase of a table. For example, the price to
purchase a ¼ page ad is $60 without a table purchase or $35.00 with a table purchase!

Individual tickets: Please complete this section if you want individual tickets or need more than 10 seats but
fewer than 15. For example, if you have 12 people attending the dinner, you can request 2 half tables with an
extra seat at each table.

Entrée Options: There are three entrée options: pecan-crusted chicken, sirloin beef, or a mixed vegetable grill.
Please indicate the total number of each that you require. All entrees are being prepared gluten-free, and the
vegetarian option is both gluten-free and vegan. Let us know of any special accommodations that need to be
made for an individual (e.g. nut or strawberry allergy, etc.). Each entrée will be served with a salad and a dessert.
A fruit cup will be provided for dessert upon request.

Guests: To streamline the check-in process on the evening of the dinner, we ask for each guest’s name and their
entrée choice. We ask for email addresses so we can send dinner details the week before. Otherwise we send
dinner details to the contact person and ask that it be shared with attendees.

Donated Seats: If you have extra seats that will not be used by someone from your organization, please let us
know either on the form or contact us by email or phone by October 24th.
To submit the order form and payment:
Mail to: Pat Tetreault
LGBTQA Resource Center
C/O 200 Nebraska Union
Lincoln, NE 68588-0453
E-mail to: [email protected]
On campus transfer: Provide your cost center/WBS number to Jeff Rech, 402.472.5668 or [email protected]
Check: Please make check out to UNL with LGBTQA Dinner in the memo line. Individual tickets can be purchased
from Jeff in 200 NU.
Due October 2th, 2014
12th Annual LGBTQA
History Month Dinner
October 30, 2014, 6:30 pm, T h e C ornhusker Hotel
Phone: 402.472.1652
Fax: 402.472.8140
346 Nebraska Union
Lincoln, NE 68588-0453
Organization: _______________________________________ Contact Person:
Address:
-----------------------------------
-----------------------------
City/State/ZIP: _________________________
E-mail:
Phone:
GROUP TABLES
-----------------------------
Tables will be filled to seat 10 people.
Quantity
Description
Amount
Full Table (10 seats)
$300
Half Table (5 seats)
$150
Total
ADVERTISING (with purchase of a table)
Mail business cards or e-mail PDF or JPG to [email protected]
Description
Total
Amount
Business card size ad in program (add to table price)
$20
1/4 page ad in program (add to table price)
$35
1/2 page ad in program (add to table price)
$50
Full Page ad (add to table price)
$80
Individual Tickets
Tickets may be purchased at 200 Nebraska Union (SOFS) or by mail following the payment procedures below.
Quantity
Description
Amount
Non- UNL Student
$30
Student (UNL Only)
$20
Total Amount
Quantity
Total
Is
ENTREE OPTIONS
((all Description
Spinach salad with strawberries, almonds, mandarin oranges and poppy seed dressing. Pecan
crusted chicken with jasmine rice and mixed vegetables (gluten-free).
Spinach salad with strawberries, almonds, mandarin oranges and poppy seed dressing. Sirloin of
beef with garlic mashed potatoes and green beans with carrots (gluten-free)
Spinach salad with strawberries, almonds, mandarin oranges and poppy seed dressing. Mixed
Vegetable Grill with Harissa and Brown Rice (vegan and gluten free).
Other Dietary Needs, Food Allergies, or requested accommodations:
*Flourless Chocolate Cake and Coconut Panna Cotta will alternate on the tables for dessert. A fruit cup (vegan, gluten- & dairyfree) will be provided for dessert upon request. Accommodations will be made for individuals with o t h e r needs if listed
above to the best of our ability).
DONATE EXTRA SEATS*
We would like to donate seats from our table(s) to volunteers or students.
Quantity
*To donate seats after turning in this form, please call 402.472.1652 or email [email protected]
by Oct. 24th! Thank You!
Annual LGBTQA History Month Dinner
Everyday People Making History"
12th
11
October 30, 2014
346 Nebraska Union
Lincoln, NE 68588-0453
6:30 pm, The Cornhusker Hotel
Phone: 402.472.1652
Fax: 402.472.8140
Group Name: _____________________________
Contact person for group: _____________________ Email: ________________________
MEAL Choices
Pecan Chicken Sirloin Beef
o
o
o
o
o
o
Veggie
Accommodations
Name
Email
We ask for the name of each person at your table and their meal choice to provide the chosen entrée a n d checkin purposes. When a t t e n d e e s a r r i v e , we provide the appropriate meal ticket when they will tell us their name.
If you do not know all of the names of the individuals sitting at your table, leave it blank and we will follow
up with the contact person a week before the dinner.
If you need to make a substitute, let us know! Please send an email t o [email protected] or we will contact
you a week before the dinner if we don’t have all the information requested.
We ask that all guests are confirmed by October 2nd.. If a guest is unable to make the dinner or you have a
substitution after October 2nd, please call us at 402-472-1652. The alternate attendee can also tell us which
table they are at and whose ticket they will be using. We will also try to fill any unused seats so appreciate
your letting us know if someone cannot attend.
The Cornhusker Hotel is located at 333 South 13th Street in Lincoln, NE. The dinner will be in the Grand
Ballroom. Raffle tickets will be sold for prize drawings.
Thank you!!