Trivia Night Registration Form. Please complete this form to register your team for our Trivia Night. Team Name Email * Team Captain Names of the Players Team or Donation Information (Choose One) * ----- Team Table Registration - $200 Team Table Registration AFTER January 24th - $250 Individual Registration - $25 Individual Registration AFTER January 24th - $30 Unable to attend, but please accept my donation (donations of $100 or more, name will appear on Sponsor Board) Payment Information * ----- Credit Card Check (to be mailed or delivered to School Office - Must be receive by January 29th) Cash (to be mailed or delivered to School Office - Must be receive by January 29th) Name on Card First Name Last Name Credit Card Number (Visa/MC/AMX) Expiration Date MM DD YYYY CVI Code Billing Address Address 1 Address 2 City State/Province Zip/Postal Code Country Thank you!
