RMFU Annual Convention - Special Guest Registration

Name(Required)

First Last

Organization You Are Representing (As Applicable)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Email(Required)

Phone(Required)

Which days would you like to attend?

Thursday's pre-Convention

Friday

Saturday

Meal Preference(Required)

Beef

Vegetarian

Would you like to attend the Harvest Moon Gala Fundraiser

Yes, I will attend the Gala

No, thank you!

As the Gala is our largest annual fundraiser for the RMFU foundation, we as that everyone who chooses to attend purchase a ticket.

Harvest Moon Gala Ticket Only

Price:

Would you like to purchase additional Harvest Moon Gala tickets?

Yes

Additional Harvest Moon Gala Tickets

Price: $85.00

Name AND meal preference of additional Gala attendee(s). Options: beef or vegetarian.

Please enter as follows: Jane Smith - beef, Joe Smith - vegetarian

Total

Credit Card

American Express

Discover

MasterCard

Visa

Card Number

Expiration Date

Security Code Cardholder Name

Billing Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Total

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RMFU Annual Convention – Special Guest Registration