Tee it up for Nancy - Registration Form for Dinner Only

Tee it up for Nancy
Registration Form — Dinner Only

Complete the registration form online by filling it out and clicking submit. Send checks to: Susan Richardson, 1675 Napa Dr., Gurnee, IL 60031

Checks should be made out to the Les Turner ALS Foundation. After expenses, 100% of proceeds will go to the Les Turner ALS Foundation. You can also use a credit card on the Les Turner ALS Foundation site. Please add Tee it Up for Nancy in the comment section on the credit card site. You must still submit the registration form by mail.

ALL FIELDS ARE REQUIRED

YOUR INFORMATION:
Name:
Street Address:
City, State, ZIP:
Phone:
E-mail:
Dinner Choice:

Cost is $100 per person which includes dinner and drinks. Please make your check out to the Les Turner ALS Foundation or use the link at the top of this form to pay by credit card.

Additional donations may be added for the Les Turner ALS Foundation in Nancy Stuercke's memory. Thank you!

Please print this form for your records or if you wish to mail it with your check.