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Member ID:   Password: 
REGISTRANT INFORMATION
While completing this form, do not use the browser BACK or FORWARD buttons; use only the buttons on this form. Fields in this color are required.
Closes at:  20 December 2018 12:00 AM US/Central
Contact Information:

First name:
Last name:
Email:
Address:
City:
State:

(If outside USA, enter below the state,
province, district, or area)
 
ZIP:
Phone:
T-shirt Size
Small   Medium   Large   XL   XXL  
REGISTERED CATEGORIES
Place a check mark next to each category for which you wish to register. All fields appearing under a label of this color are required for the category.
1st Adult: 40.00 USD (Enable checkbox to register.)
Banquet entry and BBQ Dinner for adult.
Particpant  
Name of attendee
2nd Adult: 40.00 USD (Enable checkbox to register.)
Banquet entry and BBQ Dinner for adult.
Particpant  
Name of attendee
3rd Adult: 40.00 USD (Enable checkbox to register.)
Banquet entry and BBQ Dinner for adult.
Particpant  
Name of attendee
1st Kid: 25.00 USD (Enable checkbox to register.)
Banquet entry and BBQ Dinner for kid.
Participant  
Name of attendee
2nd Kid: 25.00 USD (Enable checkbox to register.)
Banquet entry and BBQ Dinner for kid.
Participant  
Name of attendee
3rd Kid: 25.00 USD (Enable checkbox to register.)
Banquet entry and BBQ Dinner for kid.
Participant  
Name of attendee
4th Kid: 25.00 USD (Enable checkbox to register.)
Banquet entry and BBQ Dinner for kid.
Participant  
Name of attendee
INSTRUCTIONS
Carefully review your registration. You will not be entitled to a refund.
REVIEW OF CATEGORIES
       Total Amount in USD
NOTES (Maximum of 70 Characters)
Payment Method
PayPal
(Current total is 0.00 USD )
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