MRFGBC 100th Anniversary Celebration Online Registration

Name

First NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Email

example@example.com

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

I will be attending: (select all that apply)

T-Shirt size?

Youth (ages 12 - 17)

All events plus t-shirt, for ages 12 -17 (Banquet ticket not included)

$25.00 Quantity

Adult

Per Person, All events plus t-shirt (Banquet ticket not included)

$35.00 Quantity

Banquet Ticket(s)

Per Person

$50.00 Quantity

Souvenir Book

100th Anniversary Souvenir Book

$25.00 Quantity

I would like to make a Straight Donation using Cash App - $100MtRose

Donations of any amount are greatly appreciated. Just scan Qcode to give.

Free

Total

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