USA ANNUAL AWARDS BANQUET
MN/USA ANNUAL AWARDS BANQUET Sunday, September 25, 2016 1:00 PM East Ridge High School 4200 Pioneer Drive Woodbury, MN 55129
Come join us as we celebrate the successes of Minnesota’s wrestlers, clubs, and volunteers!
Pre-registration (meal included): Ages 5+ $15.00 Under age 5: $8.00 At the door: All Meals: $20.00
Complete the registration form on the next page and return postmarked by September 21st for Pre-registration price.
*Award Winners and MNUSA Board Members registration fee is waived.
If you have any questions, please do not hesitate to contact MN/USA Awards Director, Matt Everson, at 651-428-4589
MN/USA ANNUAL AWARDS BANQUET Sunday, September 25th, 2016 at 1:00pm East Ridge High School, 4200 Pioneer Drive, Woodbury, MN 55129 Pre-Registration Form
Wrestler Name(s): ________________________________
Club: __________________________
# Attending (excluding award winning wrestler(s) named above): Ages 5 and Over: ____________ ($15.00 ea.)
Ages 5 and Under: ____________ ($8.00 ea.)
TOTAL: $______________ Please Submit this form and Check/Money Order/Credit Card info to: Matt Everson 5336 Southridge Ct. Woodbury, MN 55129 Credit Card Information: Please PRINT Clearly Name as it Appears on Credit Card: ____________________________________________ Billing Address: ______________________________ City: ______________ State: ______ ZIP: _________ Telephone # _____-_____-_______
Visa
or Mastercard (Please Circle One)
Credit Card # _________________________________________ 3-Digit Code: ________
EXP: ________
I authorize to charge the amount indicated in the TOTAL field identified above to the card number listed. I verify that I authorize to charge on this account. ___________________________________________
___________________
(Signature)
(Date)
___________________________________________ (Print Name)
** Must be postmarked before September 21st for the Pre-registration price. Cost at the Door is $20.00 per person
Come join us as we celebrate the successes of Minnesota’s wrestlers, clubs, and volunteers!
Pre-registration (meal included): Ages 5+ $15.00 Under age 5: $8.00 At the door: All Meals: $20.00
Complete the registration form on the next page and return postmarked by September 21st for Pre-registration price.
*Award Winners and MNUSA Board Members registration fee is waived.
If you have any questions, please do not hesitate to contact MN/USA Awards Director, Matt Everson, at 651-428-4589
MN/USA ANNUAL AWARDS BANQUET Sunday, September 25th, 2016 at 1:00pm East Ridge High School, 4200 Pioneer Drive, Woodbury, MN 55129 Pre-Registration Form
Wrestler Name(s): ________________________________
Club: __________________________
# Attending (excluding award winning wrestler(s) named above): Ages 5 and Over: ____________ ($15.00 ea.)
Ages 5 and Under: ____________ ($8.00 ea.)
TOTAL: $______________ Please Submit this form and Check/Money Order/Credit Card info to: Matt Everson 5336 Southridge Ct. Woodbury, MN 55129 Credit Card Information: Please PRINT Clearly Name as it Appears on Credit Card: ____________________________________________ Billing Address: ______________________________ City: ______________ State: ______ ZIP: _________ Telephone # _____-_____-_______
Visa
or Mastercard (Please Circle One)
Credit Card # _________________________________________ 3-Digit Code: ________
EXP: ________
I authorize to charge the amount indicated in the TOTAL field identified above to the card number listed. I verify that I authorize to charge on this account. ___________________________________________
___________________
(Signature)
(Date)
___________________________________________ (Print Name)
** Must be postmarked before September 21st for the Pre-registration price. Cost at the Door is $20.00 per person
