2023 Kicking Bear Banquet Registration

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This form is to register for the 2023 Kicking Bear Banquet being held May 11th, Omni Center, Onalaska, WI. Use this form if paying by cash or check, otherwise to pay with credit card use this link: CC Registration. Please make payment by April 28th, 2023. Payment can be mailed to Kicking Bear Banquet, P.O. Box 194, La Crescent, MN 55947.

Registration options: *

$6,000.00 - Platinum: 2 tables (20 seats) Pick of two prizes: Mathews Phase 4 bow or .30-06 rifle (can be two of one). $1000 Kaboo Bucks, 2 tickets for Table Sponsor only prize and highest company level recognition.

$3,500.00 - Gold: 1 table (10 seats) Pick of one prize: Mathews Phase 4 bow or .30-06 rifle, $600 Kaboo Bucks, 2 tickets in Table Sponsor only prize and company recognition.

$2,250.00 - Silver Crossbow: 1 table (10 seats) Prize: Mission Crossbow $300 Kaboo Bucks, 1 ticket for Table Sponsor only prize and company recognition.

$1,850.00 - Silver Bow/Gun: 1 table (10 seats) Pick of one prize: Mathews Phase 4 bow or .30-06 rifle. $300 Kaboo Bucks, 1 ticket for Table Sponsor only prize and company recognition.

$100.00 - Individual Ticket

$175.00 - Individual and Spouse: Must be spouse or youth child and parent.

$55.00 - Kid (13 and under)

Name

Email address

Phone Number

Billing Address *

Secondary Table Contact

Name

Email Address

Phone Number

Official Table Name (leave blank if purchasing individual tickets)

Choice of Prize if Bow/Gun Table

Matthews Phase 4 Bow

.30-06 Rifle

Clear selection

Option to donate table prize

Yes, Please donate the table prize to a family/youth in need

Would your organization like to sponsor a raffle gun for $600? During the walk around raffle, your organization will be highlighted, we will also share sponsors through promotional literature and announcements!

Comments/Requests/Additional Info

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