Wild West History Association 18th Annual Wild West History Roundup Test URLThis field is for validation purposes and should be left unchanged.Name(Required) First Last Spouse or Others Spouse Name or Others Address(Required) Street Address City State ZIP / Postal Code Email(Required) PhoneCell(Required) Registration Fees NO REFUNDS after June 1st due to planning obligations (Please click on the appropriate block). Complete ProgramClick box for Individual Individual Individual - $295.00 Price: Click box for Individual - After July 1 Individual - After July 1 Individual After July 1 - $320.00 Price: Click box for Couple Couple Couple - $525.00 Price: Click box for Couple - After July 1 Couple - After July 1 Couple After July 1 - $550.00 Price: **Children under 12 free, $75 if eating plated meal** Selected OptionsReception Only Quantity Price: $65.00 Quantity Type in number of persons.Thursday Only Quantity Price: $75.00 Quantity Type in number of persons.Friday Only Quantity Price: $100.00 Quantity Type in number of persons.Saturday Only Quantity Price: $100.00 Quantity Type in number of persons.Banquet Only Quantity Price: $75.00 Quantity Type in number of persons.Dues Renewal, if not already paid (see current rates in March Journal) PLEASE NOTE: Thursday Lunch & Saturday Banquet have meal choices: Please select your meal preference and type in number of meals needed. Thursday Lunch Meal Choice: Bagel Crusted Salmon(how many)Chicken Scallopini(how many)Vegan Curry Plate(how many) Saturday Night Banquet Meal Choice: Roasted Chicken Breast(how many)Atlantic Salmon Fillet(how many)Creamy Vegan Polenta(how many)Total Select Payment Method(Required) PayPal/Credit Card Pay by Check Clicking on the submit button will take you to the PayPal portal to complete your online payment using a credit card or other PayPal options WILD WEST HISTORY ASSOCIATION Jean Smith, Treasurer, 993 E. Jennings St., Safford AZ 85546 If paying by check, please mail to: WILD WEST HISTORY ASSOCIATION Jean Smith, Treasurer 993 E. Jennings St., Safford AZ 85546 Click to prove you're not a robot.
