Exhibit Activities Contact InformationName* First Last Company Name*PhoneEmail Choose Your EventsWhich events are you interested in? Sporting Clay Golf Tournament President's Tailgate Sporting ClayHow many sporting clay tickets do you need?* Price: $100.00 Quantity: Please enter the names of each person participating.*Golf TournamentHow many golf tickets do you need?* Price: $100.00 Quantity: Please enter the names of each person participating.*President's TailgateHow many adult tickets do you need?* Price: $100.00 Quantity: Please enter the names of each adult participating.*Do you plan to bring children under the age of 18?*YesNoHow many child tickets do you need? Price: $50.00 Quantity: Children 3 and under do not require a ticket.Please enter the names of children ages 4 and older participating.Please enter the names of children 3 and under participating.PaymentTotal $0.00 How would you like to pay?*Credit CardCheckPlease make checks payable to Georgia Vascular Society, Inc. Tax ID# 45-4588488 Mail to: Georgia Vascular Society, Inc. c/o Burkhardt Planning & Consulting Attn: Liz Sullivan-Burkhardt, Executive Director 2520 Vestal Parkway East #238 Vestal, New York 13850Credit Card* Card Details Cardholder Name
