Step 1 - Registration Information 

Will Rogers Awards Dinner Banquet Registration

Saturday, June 21, 2008 - 5 PM
Litchfield Community Center
Litchfield, IL

Your Information:

Your Name
Address
City
State	AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VA VT WA WV WI WY
Zip / Postal Code
Phone Number
e-Mail Address
Total Number Of Reservations Needed:
Note: If more than one person is attending under your name, we need their names here
You will be attending: $37.50/ticket for dinner, $10/ticket without dinner - (Seating for non-dinner guest will open at 7 PM and may be standing room only.)	Dinner & Ceremonies Ceremonies Only
Payment Options:	PayPal Check or Money Order