WINTER DANCE REGISTRATION

The online registration process for payment of Winter Dance dues is a two-step process. Please fill out the following information and Submit. Return back to this page after submitting and choose the dues that you qualify for from the PayPal pull-down menu and submit online payment through your PayPal account or credit card. If you chose Failure to complete either step will result in an incomplete registration.

Need to fill-in areas are marked with an *

COST PER PERSON

	NY Strip Dinner	Lasagna	Salmon

Senior Officer/Guest	$55.00	$50.00	$50.00

Junior Officer/Guest	$45.00	$35.00	$35.00

Air National Guard

*Last Name
*First Name
*Rank
*Unit
*Phone
*E-mail
	Number to attend Sr. Officer NY Strip
	Number to attend Sr. Officer Lasagna
	Number to attend Sr. Officer Salmon
	Number to attend Jr. Officer NY Strip
	Number to attend Jr. Officer Lasagna
	Number to attend Jr. Officer Salmon