REGISTRATION

Phone #: *

Number on Credit Card: *

Pre-Buy Pig in a Freezer x $20

Table of 10 x $850

President's Gun Raffle:x $100

Member x $85

Pre-Buy Pistol Board: x $75

State: *

Pre-Buy Gambler's Raffle: x $50

Name on Credit Card: *

Security Code: *

Your Name: *

REGISTRATION DEADLINE: April 7, 2023
LIMITED SEATING - FIRST COME FIRST SERVED

Pre-Buy Raffle Package B x $300

Sponsor x $350

Email Address: *

Address: *

TOTAL OF ALL ABOVE:

Pre-Buy Raffle Package A x $250

Table Name:

Names of others you are registering:

Choose

Credit Card

Electronic Signature: I authorize Ducks Unlimited to charge this card the Total Amount listed above

City: *

Pre-Buy Gun Boards: x $100

Zip Code: *

Expiration: *

Contact Scott: sjjurk@gmail.com

to find out if there are any seats available.

REGISTRATION CLOSED

2023 Membership Banquet

Questions: Contact Scott at: sjjurk@gmail.com