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NextGen Under30 Kansas Reservation Form 2022
Payment processing is via PayPal (or please contact us to make other arrangements)
Name of Honoree
*
First
Last
Checkbox
This is my free registration
To buy additional tickets for friends and family purchase your tickets below.
If you are ordering additional tickets please complete your name in case there are questions, thank you!
Person Ordering tickets
First
Last
Contact Phone number
*
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Purchase tickets, $170 for one, $150 each for more than one.
Please Select
1 individual ticket
2 individual tickets
3 individual tickets
4 individual tickets
5 individual tickets
6 individual tickets
7 individual tickets
8 individual tickets
Please select quantity
Names of Guests - NOTE all guests must purchase a ticket.
Special Requests
Unique ID
