Member Function Questionnaire
* First Name:
* Last Name:
* Date of Function
Open the calendar popup.
1)This party will be paid by me without reimbursement by anyone. (If YES stop here and click submit)
2) I have been or will be reimbursed by my employer for all or part of the charges, or my employer will pay the Club directly
If you answered YES to #2, please answer the following questions:
Employer Name
Member's Position in Organization
Purpose of Function
Billing Address
If you answered NO to 1 and 2, complete  #3.
3) I will be reimbursed by non-members, other than my employer, or they will pay the Club directly.
Non-Member's name and relationshop
Type of Function
* Denotes Required Fields