2015-16 Basketball Banquet - March 7th - 5pm @ Holiday Inn on Campus
Questions marked by * are required.
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Your Name: *
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Email: *
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Phone:
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Address:
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City:
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State:
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Zip:
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Choose Individual or Player/Coach Table (9 Guests with Player Table)
Individual $75
Student/Child $50
Table $750
Shaq Goodwin $1500
Dedric Lawson $1500
Ricky Tarrant Jr. $1200
Trahson Burrell $1200
Markel Crawford $1200
K.J. Lawson $1200
Avery Woodson $1200
Jeremiah Martin $1200
Dante Scott $1000
Randall Broddie $1000
Craig Randall II $1000
Kedren Johnson $1000
Sam Craft $1000
Nick Marshall $1000
Caleb Walingford $1000
Jake McDowell $1000
Coach Pastner $2000
Coach Stoudamire $1200
Coach Kirby $1200
Coach Lawon $1200
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Guest #1
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Guest #2
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Guest #3
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Guest #4
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Guest #5
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Guest #6
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Guest #7
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Guest #8
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Guest #9 Name
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Method of Payment (Make checks payable to U of M Rebounders) - Mail checks to Rebounders - PO BOX 172054 - Memphis TN 38187-2054 *
Check
Credit Card
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Card Type
Visa
Mastercard
Discover
American Express
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Card Number
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Expiration Date:
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3 Digit Code Security Code On Back
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Grand Total for event (please calculate based upon pricing above) *
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Comments: