This document is a reservation form for a fundraising dinner with multiple benefactor levels offering different benefits and recognition opportunities in exchange for monetary donations. The levels include Platinum for $25,000, Gold Deluxe for $18,000, Gold for $10,000, Silver for $5,000, Bronze for $2,500, and Benefactor for $1,000. Benefits include tables of guests and advertisement space in a tribute book. Individual tickets are also available for $395. The form requests payment details and contact information and notes that tax receipts will be issued.