Fishin' for a Cure 2019
Complete the following form for events, merchandise, and donations.
Complete one form per person attending events, purchasing merchandise, and making donations.
Early bird pre-registration prices end September 8th. Prices increase after September 8th.
An itemized bill will be sent to the email you provide in the form through Quickbooks. Please review the newsletter for payment details.
Email address *
First Name *
Your answer
Last Name *
Your answer
Phone Number (XXX)XXX-XXXX *
Your answer
Blue Marlin Package ($150 until 9/8 then $165): Includes Saturday and Friday dinner/music at The Post, a short sleeve T-shirt, a koozie, a gift bag, 2019 commissioned artwork by Nettie Price, and other fishin’ favors *
If you chose Blue Marlin package, please choose your t-shirt size. (If no package, choose NA) *
Fishin' for a Cure Gala Saturday Night ($60 until 9/8 then $75): A la carte includes food and live music. (If you chose the package, choose NA.) *
Poker Fish Participant $25 per person (until 9/8 then $35) (Please choose your shirt size below that is included in the registration price.) *
PokerfishT-Shirt Size *
"Pink my Rod" Participant ($10 until 9/8 then $20) *
Golf Tournament ($85 a person, $340 per team) *
Required
Tuesday Cornhole Tournament Participant ($10 each until 9/8 then $20) *
Friday Night Party Time: ($60 until 9/8 then $75): A la carte includes food and live music. (If you chose the package, choose NA.) *
BIG RAFFLE Ticket $50 (Indicate the # of tickets you want to buy or type NA if you are buying from a FFAC representative.)
Your answer
Pink Shortsleeve Shirt: ($20) Indicate quantity and sizes. (2XL and up, add $4.) After 9/8, $25.
Your answer
White Longsleeve Shirt ($25) Indicate quantity and sizes. (2XL and up, add $4.) After 9/8, $30.
Your answer
Crew Sweatshirt ($30) Indicate quantity and sizes. (2XL and up, add $4.) After 9/8, $35.
Your answer
Tank Top ($18) Indicate quality and sizes. (2XL and up, add $4.) After 9/8, $23
Your answer
White SPF Performance Longsleeve ($28) Indicate quantity and sizes. (2XL and up, add $4.) After 9/8, $33.
Your answer
Golf Polo Shirt ($35) Indicate quantity, choose white, light gray, or dark gray and size. (2XL and up, add $4.) After 9/8, $40.
Your answer
Golf Pullover ($42) Indicate quantity, choose color white, charcoal gray heather, charcoal gray, and size. (2XL and up, add $4.) After 9/8, $47.
Your answer
First time participating in Fishin' for a Cure? *
Are you a breast cancer survivor?
Please indicate how many years it has been since you were diagnosed?
Your answer
Are you a cancer survivor?
Please indicate how many years it has been since you were diagnosed?
Your answer
Do you want to make a Tax Deductible Monetary Donation to Fishin' for a Cure
Donation can be made: (Please list person if applicable.)
If a donation is made above, specify what your preference is for your donation.
Payment Method *
Are you interested in volunteering for events as a committee member or leader?
Questions?
Your answer
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