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UPLAND CHAPTER PHEASANTS FOREVER 22nd ANNUAL BANQUET REGISTRATION Friday, September 5, 2008 5:00 pm at Memories Ballroom, Marathon WI Registrations postmarked on or before August 21st are eligible for the Early Bird Drawing! Questions? Call Steve or Sonja Gasper at (715) 675-4162. Feel free to copy this form for a friend or visit www.uplandchapterpf.org QTY TOTALS GRAND SPONSORSHIP $500 Cash (Includes 4 banquet tickets, sponsor premium, 2 memberships, entry in sponsor drawing, and one banquet pack) CHAPTER SPONSORSHIP $250 Cash or $350 Merchandise (Includes 2 banquet tickets, sponsor premium, 1 membership, and entry in sponsor drawing) Couple $95 2 banquet tickets and 1 Associate membership Single $65 1 banquet ticket and 1 Associate membership Ringneck(18 and younger) $25 Includes banquet and membership, Ringneck raffle Banquet Package $150 $200 in raffle tickets! DOES NOT INCLUDE BANQUET DINNER TICKETS Associate Membership only $30 Does not include banquet ticket Pre-event raffle $5 or 3/$10 $1000, $500 Gander Gift Card,Gun, Beef , Hog, 5- $100 Gas Cards Total Registration Cost Each membership includes a subscription to Pheasants Forever Journal of Upland Conservation Name:_________________________________________________ E-Mail _______________________________________ Address:______________________________________________________________________________________ City:___________________________________County:___________________State:______Zip:_______________ Home Phone:________________________________________________________ Check Enclosed (Make Checks payable to “Upland Chapter-Pheasants Forever”) Bill my Credit Card: Visa Mastercard Discover Card Number:_______________________________________________________Expiration Date:_____________ Signature______________________________________________________________ Return form and payment to: Upland Chapter Pheasants Forever % Steve Gasper 9945 N 64th Ave. Merrill, WI 54452 In appreciation for your sponsorship this year please select one of the following sponsor premiums listed below: __ 2008 Print of the Year “Rooster Resort” by Scott Zoellick Please call 715-675-4162 for other premium option.
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