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2020 Wichita Winter Relaxer
Thursday, January 30, 2020
Doors open at 5:30pm; Dinner at 6:30pm
Location: Old Cowtown Museum
Directions: 1865 Museum Boulevard, Wichita, KS 67203



SOCIAL HOUR 5:30 P.M.-6:30 P.M.
DINNER 6:30 P.M.-8:00 P.M.

MENU: STEAK, BAKED POTATO, SALAD,
& ADULT BEVERAGES


MEMBER * required
 I will be attending by myself
 I will attend and will bring guest(s)
First Name *

Last Name *

FBINA Session: *

Name for Badge: *


CONTACT INFORMATION
Email Address: *

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Phone Number: *

  AGENCY / ORGANIZATION
Agency/Organization Name: *


GUEST INFORMATION  (Cost $25 per guest)
Enter the names of the guest(s) that will be attending.
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TOTAL DUE


Method of Payment:
 Pay By Check    Credit Card

Credit Card Information (all fields required)
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