2019 PBAC Scholarship Recognition Luncheon and Fundraiser Registration
Please fill out this form to register for the PBAC Scholarship Recognition Luncheon and Fundraiser on Saturday, January 19, 2019 at Rock Bottom at the Waterfront in Homestead. You are encouraged to register for yourself and guests (alumni and others) together on this form.

Space is limited and RSVPs are requested by Monday, January 14, 2019. Please read the payment section below for more details.

First Name *
Your answer
Last Name *
Your answer
Phone number *
Your answer
Email Address *
Your answer
Year(s) in Pitt Band (if applicable)
e.g. 1981-1985, 2009-2013
Your answer
Guest(s) - Pitt Band Alumni
Please list name(s) and year(s) in band.
Your answer
Guest(s) - Other
Please list name(s).
Your answer
Total number of guests attending, including yourself *
Your answer
Additional scholarship donation (optional)
Make an additional optional donation to the PBAC Scholarship Fund to supplement our scholarship endowment and to help to sponsor a scholarship winner to attend the recognition luncheon.
Your answer
Total amount owed *
Multiply number of guests at $35/ticket, and if applicable, add in optional donation from above.
Your answer
Payment options
You can choose to pay online or by check. Please allow 48 hours for an email confirmation of registration and payment from pbac.events@gmail.com.

To pay online, please visit http://tinyurl.com/glr35f6. When you click Submit, the link will also be provided. Please follow the link to our PayPal site and input your total amount from above on that page. You do not need a PayPal account to pay; valid credit cards are accepted.

To pay by cash or check, please select the appropriate option below and bring your payment to the event.

Payment method *
Submit
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