Birdies for BestPrep Registration Birdies for BestPrep Guests Individual - $100Please select... 1 2 3 4 5 6 7 8 9 10 Educator/Non-profit - $60Please select... 1 2 3 4 5 6 7 8 9 10 Student - $35Please select... 1 2 3 4 5 6 Child Under 10 - FreePlease select... 1 2 3 4 5 6 Patron - $150 (one attendee) Listed in Event ProgramPlease select... 1 Benefactor- $300 (two attendees) Listed in Event ProgramPlease select... 1 Investor- $1000 (four attendees) Listed in Event ProgramPlease select... 1 Total Amount Due Attendees at the $150 level and above will be listed in the evening's program. Program listing as it should appear: If you prefer not to be listed, please check here. Guest Information: Enter one guest name here. Click BLUE text below this box to add additional names. First Name Last Name Employer (for nametag) Email Please do not duplicate email addresses on this form. It's used to map contacts within our database. Please enter preferred email for pre-event message with event details and silent auction item preview. (Please do not enter the same email address for separate guests, and emails are not needed for children.) Cell Phone Requested for silent auction bidding and to expedite your silent auction registration at the event. (Phone numbers are not needed for children.) Number of Guests Number of Guests' Information Entered How would you like to pay?Please select... Credit Card Total Amount Due: Promo Code Billing Information First Name Last Name Email Address Billing Street Billing City Billing State Billing Zip Billing Phone Credit Card Number (Visa, Mastercard, American Express) Credit Card Code Card Expiration (Month)Please select... 1 2 3 4 5 6 7 8 9 10 11 12 Card Expiration (Year)Please select... 18 19 20 21 22 23 24 25 Click the "Submit" button below. Please be patient, it may take a couple seconds for the confirmation screen to show. Contact Type Authnet_Hidden_Fields reCAPTCHA helps prevent automated form spam. The submit button will be disabled until you complete the CAPTCHA. Contact Information
