REGISTRATION

After April 5, 2024 contact Chris: cdpennyb@gmail.com

to find out if there are any seats available.

Address: *

Table of 10

Your Name: *

Member

Pre-Buy Gambler's Raffle: x $50

Pre-Buy Raffle Package A x $250

Special Gun Raffle x $100

Pre-Buy Raffle Package B x $300

Sponsor

Email Address: *

Name on Credit Card: *

Pre-Buy Super Raffle Package C x $500

Number on Credit Card: *

Zip Code: *

TOTAL OF ALL ABOVE:

Phone #: *

Expiration: *

Names of others you are registering:

2024 Membership Banquet

Questions: Contact Chris at: cdpennyb@gmail.com

State: *

Pre-Buy Gun Boards: x $100

Security Code: *

City: *

Choose

Credit Card

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

Pre-Buy Pig in a Freezer x $20

EMAIL CHRIS

cdpennyb@gmail.com

TO CHECK IF ANY ARE SEATS AVAILABLE
LIMITED SEATING - FIRST COME FIRST SERVED

REGISTRATION CLOSED