Cortland Limbhangers Chapter – 2006 Banquet Registration Form     (Ticket #                   )

Name:

Phone#:

NWTF#

Spouse/Guest Name:

(JAKES)

Child’s Name:

(JAKES)

Child’s Name:

Address:

City:

State:

Zip:

Circle Choices

Banquet Tickets and Banquet Ticket Packages

Price Per Ticket

Sub-Total

A

Single Ticket - Purchased at the door on Mar. 11th     

(Dinner + 1 NWTF Membership without Raffle Package)

$55

B

Couple’s Ticket - Purchased at the door on Mar. 11th     

(2 Dinners + 1 NWTF Membership without Raffle Package)

$80

C

** Prepaid Single Membership Ticket - Paid for by Mar. 2^nd

(1 NWTF Membership, 1 Dinner, 1 Raffle Package)

$155

D

** Prepaid Couple’s Membership Ticket - Paid for by Mar. 2^nd

(1 NWTF Membership, 2 Dinners, 1 Raffle Package)

$180

E

** Prepaid Single Sponsor Ticket - Paid for by Mar. 2nd

(1 NWTF Sponsor Membership, 1 Dinner, 1 Sponsor package as listed on previous page)

$250

F

** Prepaid Couple’s Sponsor Ticket - Paid for by Mar. 2nd

(1 NWTF Sponsor Membership, 2 Dinners, 1 Sponsor package as listed on previous page)

$275

G

**  “Early Bird” General Raffle Special - Paid for by Mar. 2^nd

$300 worth of Raffle tickets, NWTF Raffle Cap, 1 chance at NWTF Gun of the Year and 10 chances at mystery gun.

QTY:

$100

H

JAKES Ticket - 17 and under           (1 Dinner + 1 JAKES Membership)

QTY:

$30

I

JAKES Membership Only - 17 and under  (1 JAKES Membership)

QTY:

$5

Total