Evening of Celebration - Monday, April 1, 2019

Honoring:   Chief Daniel Buntrock  and the Mequon Police Department  
Community Pillars:   Alderman Glenn and Mrs. Deborah Bushee

  Reservation Form: 

First & Last Name:

Address:

City:      Zip:

E-mail Address:

Dinner Seats   

Not Able To Attend, But Would Like To Donate  

Corporate Sponsors 
*Includes 2 Dinner seats 

Card Type
Card Number
Expiration Date
CVV Security Code 

  To pay by check mail to:
    Peltz Center for Jewish Life
    2233 West Mequon Road 
    Mequon, WI 53092