Date: November 5th 2022 Dress Code: Black Tie Event Price: $120 for Members & $120 for Guests Name* First Last Email* 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 Please List First and Last Name of ALL of the Guests You're Purchasing a Seat For…PLEASE ENTER YOUR # OF MEMBERS & NON-MEMBERS FOR YOUR TABLE (MAX OF 10 TOTAL PER TABLE – INCLUDE YOURSELF IN THIS COUNT)Total Number of Members Quantity Price: $120.00 Quantity Total Number of Non Members Quantity Price: $120.00 Quantity Would You Like to Make a Donation to West Cost Drill Instructors Association? Add in the Dollar Amount of Donation AboveProcessing Fee* Price: $8.00 Total $0.00 EmailThis field is for validation purposes and should be left unchanged. Δ
