NAKASEC VA 2018 Fundraiser - Team Registration Form
Please complete one form per team (5 people total). Forms are due by March 20, 2018
Team registration fee is $200. Registration fee payment includes event admission and free t-shirt per team member.
Questions? Contact Sookyung Oh at soh@nakasec.org, 703-256-2208
Team Name *
Your answer
Team Captain Contact Information (name, phone, email, mailing address) *
Your answer
Team Member #1 (name, phone, email, mailing address, t-shirt size) *
Your answer
Team Member #2 (name, phone, email, mailing address, t-shirt size) *
Your answer
Team Member #3 (name, phone, email, mailing address, t-shirt size) *
Your answer
Team Member #4 (name, phone, email, mailing address, t-shirt size) *
Your answer
Payment Info
Submit registration fee online at https://krcla.ourpowerbase.net/civicrm/contribute/transact?reset=1&id=19 or mail payment to: NAKASEC, 4304 Evergreen Lane, Suite 104, Annandale, VA 22003

Please note “NAKASEC VA 2018 Fundraiser” in Contribution Note.

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