Please provide the following registration information - * indicates required info:

First Name*
Last Name*
Number of Tables*
Organization
Street Address*
Address (cont.)
City*
State/Province*
Zip/Postal Code*
Contact Phone* prefer xxx-xxx-xxxx format
When to Call
E-mail Address
Additional Info (350 char. max)

You MUST also send a check for your TOTAL number of spaces via USPS mail payable to: Redball Military Transport

Mail to: Jim Gilmore, 50 W. Broadway, Jim Thorpe, PA 18229