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10th Annual Lost Afternoon Rugby Luncheon -Registration
Friday, June 15, 2018
11:00 AM - 3:00 PM
Location: Marriott Marquis Houston



For credit card and check payments, please complete the form below.


 Lost Afternoon Rugby Luncheon

I/We would like to be an underwriter at the following level (check box).


ATTENDEE INFORMATION *required
Attendee Name *

Name as it would appear on badge *

Company/Organization

Club


GUEST NAMES 

(Required for name badges put one name on each line)


 

CONTACT INFORMATION

Email Address *

Please re-type your Email Address *

Cell Phone (include area code)

Work Phone

Address 1

Address 2

City

State
 Zip Code
$6,000 – LEAD SPONSOR
  • Table of 10
  • Opportunity to give a welcome from the podium
  • Recognition from podium and event media
  • (4) Buckets of beer (20 bottles) or 4 bottles of wine
  • Corporate banner placement
  • Prominent corporate branding on all digital marketing
  • Corporate branding on your table
  • Exhibit table

$2,500 – SUPPORTING SPONSOR

  • Table of 10
  • Recognition from the podium and on event media
  • (2) Buckets of beer (10 bottles) or 2 bottles of wine
  • Corporate branding on all digital marketing
  • Corporate branding on your table

$1,000 – CORPORATE/CLUB TABLES OF 10

  • Table of 10
  • Corp/Club branding on table

$110 – INDIVIDUAL TICKET
Please reserve  seats at $110.  Seating First Come First Served.

FRIEND OF HOUSTON YOUTH RUGBY ASSOCIATION
I am unable to attend but would like make a donation of $


Total Donation: $  
Event Refund/Cancellation Policy:
Should circumstances arise that result in the postponement of the event, the Houston Youth Rugby Assocation has the right to transfer registration to the same event at the new, future date. 
 

Method of Payment:
 Check    Credit Card

Credit Card Information (all fields required)
Card Type

Cardholder's First Name

Cardholder's Last Name

Credit Card Number

Exp Date
(e.g.: 05/2019)
Security Code

 

Cardholder's Billing Street Address

Billing City

Billing State
(2-digit state code)
Billing Zip Code

Billing Country
(2-digit country code)