Chalk Talk 2012 - The Official Site of Green Bay Athletics

Chalk Talk 2012

Complete this below information and return with payment to:
Lauren Lepkowski, Green Bay Athletics 2420 Nicolet Drive, Green Bay, WI 54311

You will receive a copy of your registration to the provided email address.

Please complete one registration per guest attending.

Required Fields in Bold

Attendee Information

First Name:

Last Name:

Email Address

Phone Number:

Address:

City

State

ZIP:

T-shirt Size (women's sizing)

T-shirt Size

	Small
	Medium
	Large
	X-Large

Payment Information

				By checking this box you agree to mail in your registration fee of $25 via check to:
 Green Bay Athletics
 Attn: Lauren Lepkowski
 Kress Events Center
 2420 Nicolet Dr. Green Bay, WI 54311

Or call: 920.465.2010 to pay via credit card.
				

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