Event Registration Form

Please enter your information and verify its accuracy before submitting. When finished, click the "Submit" button.
Please indicate the number that plan to attend the free welcome reception on Thursday, Nov. 4, 6:00-7:00
Please indicate the number that plan to attend the free silent auction at the Hard Rock Cafe on Friday, Nov. 5, 8:00
To attend the optional, informal, pre-auction dinner without a guest speaker at the Hard Rock, Nov. 5, 6:30, enter number of meals desired at $50 each
Enter number of each Hard Rock entree desired below
If number of Hard Rock dinners is more than one, please list first and last name of each additional person attending below.
The official banquet, Nov. 6, at the Hyatt. Reception 6:00, Meal 7:00. Guest speaker Brad Copeland. Enter number of banquet meals desired and the number of each entree, $60 each.
If number of banquet meals is more than one, please list first and last name of each additional person attending below.
Please indicate type of payment:
Make checks and money orders payable to Rick Holman.
Total amount due:
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