Texas Men's Advance Registration Form

REGISTRATION

COMPLETE ONE FORM PER PERSON
Registrant*

First NameLast Name
Phone Number*

Area CodePhone Number
Email*
example@example.com
Emergency Contact*

Emergency ContactPhone Number
ACCOMMODATIONS & MEALS

(PER PERSON)*

DORMITORY: Includes registration fee, 2 nights lodging, 5 meals & refreshments. *bring your own bed linens, towels, pillow & toiletries* $150.00

DOUBLE OCCUPANCY: Includes registration fee, 2 nights lodging, 5 meals & refreshments. *Bed linens, pillow & towels provided - bring your own toiletries* $285.00

SINGLE OCCUPANCY: Includes registration fee, 2 nights lodging, 5 meals & refreshments. *Bed linens, pillow & towels provided - bring your own toiletries*$385.00

Total $0.00

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

This is a secure site. Please verify that you are human.*
Should be Empty:

REGISTRATION