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Department 'Of the Year' Awards Banquet

Registration

Step 1 of 8 - Card Holder's Information

Name

This field is for validation purposes and should be left unchanged.

Cardholder's Name:(Required)

First Last

exactly as it appears on the card

Address(Required)

Street Address City State ZIP Code

Phone

Email(Required)

Enter Email Confirm Email

ID# (For members only)

# of Tickets ($40.00 per person)(Required)

Please enter a number from 0 to 6.

Name for Ticket #1(Required)

First Last

Please choose a meal selection:(Required)

Name for Ticket #2

First Last

Please choose a meal selection:

Name for Ticket #3

First Last

Please choose a meal selection:

Name for Ticket #4

First Last

Please choose a meal selection:

Name for Ticket #5

First Last

Please choose a meal selection:

Name for Ticket #6

First Last

Please choose a meal selection:

(if ordering more than 6 tickets; please complete this form, hit submit at the bottom of the form, and then refresh this page and order remaining number of tickets)

Banquet Total:

Price: $40.00

Tickets $40.00 each

By clicking this checkbox, you are digitally signing this document and agree that all personal and payment information included is valid and correct to the best of your knowledge and may be shared with The American Legion Department of Ohio.

Credit Card

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