Grand Island Saddle Club

Member Function Reservation Number
In order to comply with the provisions of the Tax Reform Act of 1969. the Board of Directors requires the club staff to obtain and file the information for all parties of more than 8 persons unless 75% or more are members.
1. This party will be paid for by me without reimbursement from anyone. If "yes", stop here and sign below.
2. I have been or will be reimbursed by my employer for all or part of the charges, or my employer will pay the club directly. If yes, please fill out your employer’s information in the section below:
3. I will be reimbursed by a non-member other than my employer.
Employer's Name:
Address:
Member's Position in the Company:
Purpose of the Party:
Relationship to Member:
Amount of Reimbursement Attributable to Non-Members:
Name of Person or Organization:
Relationship to Member:
Purpose of Reimbursement:

Please Supply Your Guest list:
How would you like to supply us with your guest list?
Please upload your file(s) containing your guest list broken out by who are Saddle Club members and non-members or type your guest list into the text boxes below.

Cancelof
Saddle Club Member Name(s):
Non-Member Name(s):

Member Function Reservation Number