Boys & Girls Clubs of South Puget Sound

 

"it just takes ONE" Campaign Luncheon

Registration Form

Your Information

First Name:

Last Name:

Street Address:

 

City:

State/Province:

Zip Code:

 Phone Number:
E-Mail

Today's Date
*If you are not registering an entire table, but know a specific table you would like to be seated at, please fill in the name(s) of other guests, specific Club or Company so we can place you at the appropriate table.
Table Captain

Guest 1                     Name:

Address:

E-mail:

Phone Number:

Guest 2                     Name:

Address:

Phone Number:

E-mail

Guest 3                     Name:

Address:

Phone Number:

E-mail

Guest 4                     Name:

Address:

Phone Number:

E-mail

Guest 5                     Name:

Address:

Phone Number:

E-mail

Guest 6                     Name:

Address:

Phone Number:

E-mail

Guest 7                     Name:

Address:

Phone Number:

E-mail

Guest 8                     Name:

Address:

Phone Number:

E-mail

Guest 9                     Name:

Address:

Phone Number:

Guest 10                    Name:

Address:

Phone Number:

E-mail
   
Yes! I will be a Sponsor at the following Level $10,000 Platinum Sponsor

$5,000 Gold Sponsor

$2,500 Silver Sponsor

$1,000 Bronze Sponsor
   
     

If you have any questions in regards to the Luncheon, please email jinnieh@bg-clubs.com, or call 253.502.4618.  Thank you!