The Goose is Loose Auction!
Get Your Tickets Now, space will be limited!

Download and print the registration form or register online:

Please reserve ticket(s) @ $75 per person

Please reserve table(s): Seating for 10 ($750 total cost per table)

* $50 of cost is tax deductible

Name

Address

City

State

Zip Code

Phone

Comments:
Please indicate any special instructions for seating; for example, if you wish to be seated at the same table as another person.