"*" indicates required fields Katie Brown Cup: Individual TicketsName First Last Company Name (if applicable)Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone Number*Email Address*Sailor TicketSelect BelowQTY 1 Sailor - $1500.00QTY 2 Sailors - $3000.00QTY 3 Sailors - $4500.00QTY 4 Sailors - $6000.00QTY 5 Sailors - $7500.00QTY 6 Sailors - $9000.00QTY 7 Sailors - $10500.00QTY 8 Sailors - $12000.00QTY 9 Sailors - $13500.00QTY 10 Sailors - $15000.00includes bag lunch, sponsor race shirt and 1 reception ticketSpectator TicketSelect BelowQTY 1 Spectator - $500.00QTY 2 Spectators - $1000.00QTY 3 Spectators - $1500.00QTY 4 Spectators - $2000.00QTY 5 Spectators - $2500.00QTY 6 Spectators - $3000.00QTY 7 Spectators - $3500.00QTY 8 Spectators - $4000.00QTY 9 Spectators - $4500.00QTY 10 Spectators - $5000.00includes bag lunch, sponsor race shirt and 1 reception ticketReception TicketSelect BelowQTY 1 Reception Only - $175.00QTY 2 Reception Only - $350.00QTY 3 Reception Only - $525.00QTY 4 Reception Only - $700.00QTY 5 Reception Only - $875.00QTY 6 Reception Only - $1050.00QTY 7 Reception Only - $1225.00QTY 8 Reception Only - $1400.00QTY 9 Reception Only - $1575.00QTY 10 Reception Only - $1750.00Attendees NamesList all of your attendees names, separated by commas, if you purchase more than one ticket.For team registrations please enter the additional player's names below. If you are registering as an individual but would like to play with specific players, please list the name(s) in the field below. Individual registrants who do not list names below will be randomly assigned to a team.Pay By* By Check By Credit/Debit Card Credit Card Processing Fee (Voluntary option) I give permission to Katie Brown Educational Program to add a 4% credit card processing fee to my total if I choose to pay by credit/debit card.Credit Fee to be added Price: $0.00 Grand Total Price: $0.00 Check Mailing Address Katie Brown Educational Program, 209 Bedford Street, Suite 302, Fall River, MA 02720Credit CardCard Details Cardholder Name
