FBI NAA Logo

2020 Kansas City Winter Relaxer
Thursday, March 12, 2020
Doors open at 5:00pm; Dinner at 6:00pm
Location: Old Shawnee "Town Hall"
Directions: 11600 Johnson Dr, Shawnee, KS 66203



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

MENU: Blind Box BBQ, sides and 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: *

Please re-type your email address: *
 
Phone Number: *

  AGENCY / ORGANIZATION
Agency/Organization Name: *


GUEST INFORMATION  (Cost $25 per guest)
Enter the names of the guest(s) that will be attending.
1.
2.
3.
4.
5.

TOTAL DUE


Method of Payment:
 Pay By Check    Credit Card

Credit Card Information (all fields required)
Card Type

Cardholder's First Name

Cardholder's Last Name

Credit Card Number

Exp Date
(e.g.: 05/2021)
Security Code

 

Cardholder's Billing Street Address

Billing City

Billing State
(2-digit state code)
Billing Zip Code

Billing Country
(2-character country code)