2019 GLORI Golf Outing Banquet RegistrationDOWNLOAD This Registration Form Here Name * First Name Last Name Company Affiliate (If Applicable) Phone * (###) ### #### Email Address Address 1 Address 2 City State/Province Zip/Postal Code Country Ages 21+ Ticket - $50 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 Ages 6 - 20 Ticket - $40 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 Ages 5 & Under Ticket - Free 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 Please List Any Food Allergies w/ Attendee's Name Here If You Are Family or Friends of a Participating Golfer(s), Please List Their Name(s) Here I Will Be * Paying By Credit or Debit Card Below Mailing In a Check or Money Order (preferred) Giving My Payment to a Committee Member (preferred) This Registration Is included With a Sponsor/Donor Package If this Registration is Included With a Sponsor/Donor Package, Please Enter Sponsor/Donor Company or Individual Below If You Are Giving Your Payment to a Committee Member, Please Enter the Member's Name Here Thank you! Banquet Registration Ages 21+ Ticket $50.00 USD Banquet Registration Ages 6-20 Ticket $40.00 USD
