Lifetime Thistle & Shamrock | #______________@ $2500 | $____________ |
Annual Chieftan | #______________@ $1000 | $____________ |
Patron | #______________@ $ 500 | $____________ |
Highland | #______________@ $ 150 | $____________ |
Tartan | #______________@ $ 80 | $____________ |
***** PARKING IS FREE ***** | ||
Adult #__________ | $____________ | |
Children #_______ | $____________ | |
#___________ | with Sponsor's package - @10 = | $____________ |
#___________ | all others - @20 = | $____________ |
#___________ | $____________ | |
#___________ | $____________ | |
$____________ |
| |
Name __________________________________________________________ | |
Name __________________________________________________________ | |
Phone ( ) ___________________________________________________ | |
Street __________________________________________________________ | |
City/State/Zip ____________________________________________________ | |
Clan Name, if any _________________________________________________ |