Board Members

Grade

Name *

First

Last

Email (civilian)

Phone

Address

Address Line 1

Address Line 2

City

State

Zip Code

Board Member Registration

NOTE: This is a complimentary Ticket to be paid for NGAOK at $45 cost plus 25% gratuity and 8.79 Tax

Guest Name

First

Last

Seating Preference

Vegetarian Meal?

If YES, Please note the guest name below

Name

First

Last

Total Amount

$ 0.00

Credit Card

Card Number

Security Code

Name on Card

Expiration/

Please leave any comments or concerns that you may have