2019 Holiday Party Registration Form

Ninth Annual GCPA Holiday Party & Awards Dinner

Wednesday, December 4th, 2019 I 6:30 pm I Brick Street I 1223 E Grand Blanc Rd, Grand Blanc
White Elephant Gift Exchange

Bring a gender-neutral gift (max $20) if you are interested in participating in the white elephant gift exchange.
Full Name *

First Name Last Name

Address *

MPA Membership Status *

Currently a Member Plan to Join Need More Information
Select Your Role *
Phone Number *

Area Code Phone Number
E-mail *
Interested in the Optional White Elephant Exchange?
Ticket Selection and Credit Card Payment

Members and guests of members will receive special discounted pricing.

My Products

Pharmacy Student $ 10.00

Quantity

GCPA Member Dinner Ticket $ 10.00

Quantity

Non-Member Guest Ticket (Limit 1 per Member Ticket Purchased) $ 20.00

Quantity

Additional Non-GCPA Member Dinner Ticket $ 30.00

Quantity

Total $ 0.00