Annual Ronald Reagan Tribute Dinner Registration Form - WCRCC

Annual Ronald Reagan Tribute Dinner

Email: williamsongop@gmail.com
REGISTRATION:

No physical tickets will be issued. Please provide email or cell phone confirmation at door.
Name:*

First NameLast Name
Phone Number:*
Please enter a valid phone number.
Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email:*
example@example.com
Employer:*
Occupation:*
Names of Guests at Table(s):*

Annual Ronald Reagan Tribute Dinner Sponsorship Levels:

Individual Ticket Product Image

Individual Ticket

$75.00 Quantity

Red Table Product Image

Red Table

Includes Meet & Greet with Sheriff Mark Lamb at 4:30pm, Table Recognition, Wine Glasses, Signed Book, and Photo by "Sheila Burns Photography”

$3,500.00 Quantity

White Table Product Image

White Table

Includes Meet & Greet with Sheriff Mark Lamb at 4:30pm, Table Recognition, Wine Glasses, and Photo by "Sheila Burns Photography"

$2,500.00 Quantity

Blue Table Product Image

Blue Table

Includes Meet & Greet with Sheriff Mark Lamb at 4:30pm, Table Recognition, and Photo by "Sheila Burns Photography"

$1,500.00 Quantity

Table of 8 Product Image

Table of 8

Include 8 Tickets & Table Sign

$500.00 Quantity

Total

$0.00

Payment Methods By Card:

Credit Card

ACH Bank Transfer

Payment By Check:

WCRCC, PO Box 1686, Marion, IL 62959
Should be Empty: