Oregon Club of Portland - Dedicated to Supporting University of Oregon Athletics

2010 Signing Day Event Registration Form
Please fill out the below information to register for the event. Go Ducks!

CONTACT INFORMATION

Name:

Address:

City, State, Zip:

Business Phone:

Home Phone:

E-mail Address:

EVENT DETAILS

Please reserve

member ticket(s) at $150 each

Please reserve

non-member ticket(s) at $175 each

Please reserve

table(s) of 10 at $1500 per table

Please reserve

Patron Table at $2750 per table.

Patron Table Includes 10 guests seated with a football coach or standout former athlete, hosted social hour, dinner, parking, one-of-a-kind gifts & signage recognition

Please seat me with

List your table's ten guests name and addresses:

WIN A CHANCE TO SEE THE DUCKS PLAY TENNESSEE IN 2010
Trip is good for 2 people
Drawing to be held:
Monday, June 7, 2010 at 5 p.m. at the 2010 Golf Classic, Pumpkin Ridge Golf Club.
Need not be present to win. Select number of tickets below to ENTER.

I would like to purchase

raffle tickets at $20 per ticket

PAYMENT INFORMATION

Form of Payment:

Forwarding Check

Visa

Mastercard

Total Payment $

Account
Number:

Exp. Date:

Name as it appears on card: