Event Ticket Form Test

First Name*

Last Name*

Email Address*

Be sure you give us the correct email so we can contact you with your link to the virtual conference! Double check your email.

Write Out the Full Name of Your CLUB*

Select Your Region*

Please choose ONLY ONE of the following options

Executive Committee (Elected and Appointed Officers and Regional Directors)Board of Directors (Standing Committee Chairs and Legislative Analysts)Club President (or Appointed Delegate)Club Member (No CFRW position)

Title if you are on the CFRW Executive Committee or CFRW Board of Directors:

Please select tickets you want to purchase*

Purchase Virtual Conference TicketsMember Ticket: $50Guest Ticket: $60Ambassador Ticket (Regent & Platinum Only): $30None

Purchase Opportunity Drawing Tickets3 tickets for $25.0010 tickets for $75.0015 tickets for $100.00None

Purchase 50/50 Opportunity Drawing $10 per ticket1 ticket for $102 tickets for $205 tickets for $50None

Purchase an AmbassadorshipRegent Ambassadorship $1000Platinum Ambassadorship $500Golden Eagle Ambassador $250Golden Bear Ambassador $100Ambassador $50None

Total Cost