SCRCC - Lincoln Day Dinner (Paper-less Registration, Please Mail Check)
FILL OUT OUR ONLINE FORM & MAIL CHECK PAYMENTS OR DROP OFF AT: 1132 E Sangamon Ave, Springfield, IL 62702

If you want to pay online, don't fill out this form, and visit our E-Ticket Page to register and pay online now: https://sangamonrepublicans.yapsody.com

Any questions about payment please contact our headquarters at 217.528.6267

THIS DOES NOT RESERVE YOUR SEAT - ONLY REGISTRATIONS + CHECK PAYMENT GUARANTEES RESERVATION.

ALL CHECK PAYMENTS & SPONSORSHIP PAYMENTS DUE BY JANUARY 31ST

ALL PAYMENTS ARE FINAL, NO REFUNDS.

Email address *
Tickets & Packages (Check Payments Only) *
Do you need any Additional Tickets ($100 Each)
Did you want to Add a Photo Opp for $50 (Limit 75)
I agree to pay the following amount by January 31st (RE-TYPE YOUR TOTAL AMOUNT TO BE PAID BY CHECK) *
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Ticket Purchaser Name: First & Last *
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Occupation *
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Address *
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City *
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State *
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Zip Code *
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Organization or Sponsor Name (Optional)
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I AGREE TO MAIL CHECK OR DROP OFF BY JANUARY 31ST WITH THIS RSVP *
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