Birds & Beer Registration Form
For September through December, 2021
Your Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Which Birds & Beer programs will you be attending?
Waterfowl Migration - Thursday, September 16, 2021
Bats & Beer - Thursday, October 21, 2021
Birding by Ear - Thursday, November 4, 2021
Raptors of the Great Lakes Region - Thursday, December 2, 2021
If you would like to register other participants to attend with you, please list their names below.
My Products
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Waterfowl Migration - Thursday, September 16, 2021
At The Landing on Long Lake
$
15.00
Number of Participants
1
2
3
4
5
6
7
8
9
10
Bats & Beer - Thursday, October 21, 2021
At The Creamery in Haugen
$
15.00
Number of Participants
1
2
3
4
5
6
7
8
9
10
Birding by Ear - Thursday, November 4, 2021
At Round Man Brewing Company in Spooner
$
15.00
Number of Participants
1
2
3
4
5
6
7
8
9
10
Raptors of the Great Lakes Region - Thursday, December 2, 2021
At Nezzy's Sports Bar & Grill in Cumberland
$
15.00
Number of Participants
1
2
3
4
5
6
7
8
9
10
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
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