Annual Sports Breakfast Registration Annual Sports Breakfast Registration Form 2019 Sponsored by Men's Club Guest speaker: Curtis Martin, Former New York Jet and Hall of Famer Sunday, January 27, 2019, 8:30 AM: Breakfast & check-in; 9:30 -11:30 AM: Program. All invited to attend, bring your family & friends! •Enjoy a hot delicious breakfast cooked by Men’s Club members •Autograph signing opportunity •50/50 Raffle Thank you to ShopRite of Livingston, our corporate event sponsor! EVENT PRICING: All children under 8 admitted free. All children must be accompanied by an adult. -Men's Club or Sisterhood Members: $60 per *family; $30 per adult; $15 per child 8-18 yrs old -All others: Guests, Non-Men's Club or Sisterhood members: $75 per *family; $50 per adult; $15 per child 8-18 yrs. old *immediate Not a Men's Club member?...Join Men’s Club now!: $36 Contact Name* First Last Phone*Email* Men's Club or Sisterhood MemberMemberGuest/Non memberFamily tickets (Please enter a quantity below) Price: $60.00 Quantity: Individual tickets (Please enter a quantity below) Price: $30.00 Quantity: Child- 8 to 18 years old (Please enter a quantity below) Price: $15.00 Quantity: Family tickets (Please enter a quantity below) Price: $75.00 Quantity: Individual tickets (Please enter a quantity below) Price: $50.00 Quantity: Child- 8 to 18 years old (Please enter a quantity below) Price: $15.00 Quantity: Family* Apply Family Fee ($0 MC member/$75 Guest/non-MC member) *Immediate FamilyGuests & Non-Men's Club or Sisterhood Member Family Price Price: $75.00 Names of Family MembersPlease provide names of family members attending the event Name First Last Not a Men's Club member?...Join Men's Club now! Price: $36.00 Quantity: Name First Last Adult-Guests/Non-member (Please enter a quantity below)For individual tickets Price: $50.00 Quantity: Name First Last Child - 8 to 18 years old-Non-member (Please enter a quantity below) Price: $15.00 Quantity: Name First Last Total $0.00 Billing InformationEnter your billing address and information here.Name* First Last Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Email* This page is unsecured. Do not enter a real credit card number! Use this field only for testing purposes. Credit Card MasterCardVisa Card Number Month010203040506070809101112 Year20192020202120222023202420252026202720282029203020312032203320342035203620372038 Expiration Date Security Code Cardholder Name EmailThis field is for validation purposes and should be left unchanged.