DGC Triva Night - Registration

Registration Form

First Name: Last Name: Table reservations will be under this name Email: Phone:

Reserve table(s) in my name @ $120/table
Reserve ticket(s) in my name @ $20/ticket
Patron Sponsor - $500
Round Sponsor - $100
Table Sponsor - $50
Other donation

Number of Tables:

Number of Tickets:

Donation Amount:

Cash, checks, and Visa/Mastercard payments will be accepted at the door. Please make checks payable to The Delta Gamma Center.

Delta Gamma Center
1750 S. Big Bend Blvd.
Richmond Heights, MO 63117