THE AREA B PROGRAM
CARTHAGE, NC APRIL 17-19 2026
PARTICIPANT INFORMATION
Name
*
First Name
Last Name
Email
*
example@example.com
Date of Birth
-
Month
-
Day
Year
Date
Phone Number
*
-
Area Code
Phone Number
Mailing Address
*
Street Address
Street Address Line 2
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State
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Choose One:
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Men's
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Shirt Size
*
X-Small
Small
Medium
Large
X-Large
XX-Large
XXX-LARGE
Hand Dominance:
*
Right
Left
DONATION
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next
( X )
TRIPLE CANOPY DONOR
$2,500.00
$
2,500.00
SPECIAL FORCES DONOR
$2,000.00
$
2,000.00
RANGER DONOR
$1,500.00
$
1,500.00
AIRBORNE DONOR
$1,000.00
$
1,000.00
Total
$0.00
$
0.00
Payment Methods
Debit or Credit Card
Choose from one of the PayPal options to
make your payment.
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*
COMPLETE REGISTRATION
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