Red Devil Athletic Banquet Form

Sunday April 23rd, 2017 - 1:00pm

Name:
Address:
City, State, ZIP code:
Phone:     Email: 
Name of Athlete: Sport Athlete Participates in: 


Athletic Banquet Payment & Order form
*Deadline April 18, 2017*
I/We will be attending the Athletic Banquet on April 23, 2017 at 1:00 p.m. (All Allen athletes will be admitted for free)
Banquet Tickets Needed $15.00
I will be mailing my check to Allen Community College, Attn: Business Office, 1801 N. Cottonwood, Iola, KS 66749 (Checks payable to "Allen Athletics")
I will be paying with credit card (Please enter info below)

Order Total:

Card Type:
Name as it appears
on the card:
Billing Address:
Billing
City, State, ZIP:
Card Number:
Card Expiration Date: /
Security Code:
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