Tri-County Longbeards Chapter
National Wild Turkey Federation

5825 Cedar Street
Mays Landing, NJ 08330

Online Banquet Registration

If you wish, you may register for the banquet on-line and pay via CC at the door
Please complete this form and submit it. Simply Tab between fields.

We will reply via email to confirm that you are registered.

We require full name, address & email.

If you are registering additional guests,
please include them in your registration in the field provided.

   
Contact Information First Name:    Last Name:
Street Address:
City: State:     Zip:
Phone:    Email:

Membership:
Please indicate if you are a new member or are a renewing member.
New Member:       Renewing:
If you are renewing, please include your membership type and ID number:

Regular Member    WITO Member    Jakes Member    Xtreme Jakes Member    Sponsor Member
Membership ID Number:

Please list all additional guests here:

Ticket Type Meal / Membership Options:
Qty Ticket Options Meal Total "Add to Cart"
Single Dinner w/Annual Adult Membership   $70.00
Receive subscription to "Turkey Call Magazine", NWTF Membership Card, Membership Decal, 10% Discount on NWTF Deal Hound.com
$
Couple Dinner w/Annual Adult Membership   $100.00"
Same as above - Two Dinners, One membership
$
Jakes Membership w/Dinner     $35.00
Jakes Dinner (Age Under 12 Years) -Receive Annual Subscription to JAKES COUNTRY Magazine, Membership Card, Membership Decal and a chance to win a Hunt of a Lifetime
$
Xtreme Jakes Membership w/Dinner     $35.00
Adult Dinner (Age 13 Years to 17 Years) -Members receive Annual Subscription to JAKES COUNTRY Magazine, Membership Card, Membership Decal, a chance to win a Hunt of a Lifetime and may qualify to win College Scholarships
$
Sponsor Membership Couple     $285.00
Two Dinners, One Sponsor Membership -Receive subscription to "Turkey Call Magazine", NWTF Membership Card, Membership Decal, PLUS Special Sponsor Decal, Sponsor Gift, Sponsor Lapel Pin, 15% off and other benefits on NWTF's Deal Hound.com

$
Member Dinner Only:    $35.00
Must have valid NWTF ID - Membership ID Number:
$
Raffle Packages Sportsmen's Raffle Packages:
$100 Raffle Package
- $200 in Sportsmen's Raffle Tickets
(10) Cards - 40 Reg. Tickets, 10 Bonus Raffle Tickets
$
$150 Raffle Package
- $400 in Sportsmen's Raffle Tickets
(20) Cards - 80 Reg. Tickets, 20 Bonus Raffle Tickets
$
Grand Total Totals
Memberships and Sportmen's Raffle Tickets: Total Guests:
Total Due:


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