IHEA Banquet Registration Form
October 12, 2019 -- 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.

Using the form below, fill in your information and what packages you are wanting to purchase, and our system will generate a printable form to mail in your registration.
First Name *
Your answer
Last Name *
Your answer
Organization
Your answer
Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Email Address *
Your answer
Phone Number
Your answer
Are You An Award Winner?
Meal Tickets & Packages
Single Meal Ticket ($25.00 per)
How many tickets?
Your answer
Double Meal Tickets ($35.00 per set)
How many sets?
Your answer
Friends Package ($125.00 per)
How many packages?
Your answer
Sponsor Package ($250.00 per)
How many packages?
Your answer
Sponsor Package Shirt Size
Please select the size of your Pullover.
Sponsor Plus Package ($300.00 per)
How many packages?
Your answer
Sponsor Plus Shirt Size
Please select the size of the 2nd Pullover.
Special Note:
Please leave any special note, comment, or question.
Your answer
Indiana Gaming Commission License Number: N/A
More Information about Gaming & Raffles will be made available at a later time. Provided By: Indiana Hunter Education Association, Inc.
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