2016 Rebounder Tip Off Pracitce & Dinner - Oct. 18 - 4:30pm Practice - 6pm Dinner - Finch Center
Questions marked by * are required.
1.
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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Total Number of Guests
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1
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4
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8
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Individual ($35 each)
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1
2
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8
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Children under 14 ($20 each)
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1
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8
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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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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
21.
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: