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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