Men's Club Sports Breakfast Registration Annual Sports Breakfast Registration Form 2018 Sponsored by Men's Club Guest speaker: Victor Cruz, Former New York Giant,Super Bowl Winner. Sunday, January 28, 2018, 9:00 AM: Breakfast & check-in; 10:00 AM: Speaker. 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 EVENT PRICING: All children under 8 admitted free. All children must be accompanied by an adult. -TBA Members: $50 per *family, $25 per adult, $15 per child 8-18 yrs old -Guests/Non-members: $75 per *family, $50 per adult, $15 per child 8-18 yrs. old *immediate Contact Name* First Last Phone*Email* Temple MembershipMemberNon memberFamily* Apply Family Fee ($50 member/$75 non-member) *Immediate FamilyMember Family Price Price: $50.00 Non-member Family Price Price: $75.00 Names of Family MembersPlease provide names of family members attending the event Adult-Member (Please enter a quantity below) Price: $25.00 Quantity: Name First Last Child- 8 to 18 years old- Member (Please enter a quantity below) Price: $15.00 Quantity: Name First Last Adult-Non-member (Please enter a quantity below) 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* Credit Card MasterCardVisa Card Number Month010203040506070809101112 Year20182019202020212022202320242025202620272028202920302031203220332034203520362037 Expiration Date Security Code Cardholder Name NameThis field is for validation purposes and should be left unchanged.