IHEA Banquet Registration Form
October 8th, 2022 -- The Pines Evergreen Room, Seymour, IN

Thank you for supporting the Indiana Hunter Education Association by attending this year's annual banquet. Please note, that because of Indiana Charity Gaming Laws, we can not sell tickets or packages online or using credit cards. We can accept cash, checks, or money orders by using the form below.


Please fill our the information below.  When you are finished with the form, you will receive an automatic email from google with a copy of your information.  You will receive another email from Jared Beck (jaredleebeck@gmail.com) at a later date with more information about your registration, who and where to send checks to, etc.  If you have any questions, please contact Jared Beck at jaredleebeck@gmail.com or 812.630.8737 (call or text).
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Email *
First Name *
Last Name *
Address *
City *
State *
Zip Code *
Phone Number
Are You An Award Winner?
Please Indicate The Number of Tickets or Packages Below
Single Meal Ticket ($25.00 per)
How many tickets?
Double Meal Tickets ($35.00 per set)
How many sets?
Friends Package ($125.00 per)
How many packages?
Sponsor Package ($250.00 per)
How many packages?
Special Note:
Please leave any special note, comment, or question.
Indiana Gaming Commission License Number: On File (Available on Request)
More Information about Gaming & Raffles will be made available at a later time.  Provided By: Indiana Hunter Education Association, Inc.
A copy of your responses will be emailed to the address you provided.
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