2016 Rebounder Tip Off Pracitce & Dinner - Oct. 18 - 4:30pm Practice - 6pm Dinner - Finch Center
Questions marked by * are required.
1. Your Name: *
2. Email: *
3. Phone:
4. Address:
5. City:
6. State:
7. Zip:
8. Total Number of Guests
9. Individual ($35 each)
10. Children under 14 ($20 each)
11. Guest #1
12. Guest #2
13. Guest #3
14. Guest #4
15. Guest #5
16. Guest #6
17. Guest #7
18. Guest #8
19. 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
20. Card Type
  • Visa
  • Mastercard
  • Discover
  • American Express
21. Card Number
22. Expiration Date:
23. 3 Digit Code Security Code On Back
24. Grand Total for event (please calculate based upon pricing above)
25. Comments: