Beruflich Dokumente
Kultur Dokumente
Interested?
Please complete this form and return it to the Rock River Philharmonic by January 23, 2014 (as early as
possible to help us plan). Contact Britney McKay at 608.313.1200 or bmckay@rockriverphil.org with any questions
regarding details prior to the event. Thank you in advance for your support!
Cost: $25 per person or $200 for a team of 8 (max team size).
Name of Company/Business/Organization (if applicable):
Name of Team (if different from above name or you want a different name):
Name/Address/Contact Info of Team Captain (the person all contacts/info/correspondence will go through):
Name
Address
City/State/Zip
_______________________________________________________________________________________________________________________________________
Phone
Name
Name
Name
Name
Name
Name
Name
Name
Please return this page prior to January 23, 2014 with a check for $200 per team (or $25 per participant) payable to the Rock River Philharmonic and mail to: Rock River
Philharmonic, ATTN: Trivia Contest, 444 E. Grand Avenue, Ste. 100, Beloit, WI 53511.