Aqua Turf RegistrationAqua Turf Meeting Registration – IS OPENPlease contact Lisa Madden with any and all questions at lisamaddenccmc@gmail.comThank you!ONLINE REGISTRATION1Attendee information2Meal Selection3Check OutInvoice #Name(Required) First Last TitleCity/Town Represented(Required)Email(Required) PhoneAre you a Dues Paying CTx Member?(Required) Yes NoPlease Select Meal(Required)Please Select Online or a Meal ChoiceChicken - $50Fish - $50Vegetarian - $50Prime Rib - $60No Meal - Online OnlyPlease Select Meal(Required)Please Select Online or a Meal ChoiceChicken - $55Fish - $55Vegetarian - $55Prime Rib - $60No Meal - Online OnlyMEAL DESCRIPTIONS Prime Rib - slow roasted and hand cut Baked North Atlantic Cod - with a cracker crumb topping Chicken Valdestone - breaded &sauteed topped w/fresh mozzarella & marsala demi-glaze Vegetarian Eggplant Parm - thin sliced, breaded and sauteed; served with marinara sauce and fresh mozzarellaIf applicable, any dietary restrictions?Please list all that apply, if any.Total Payment Option(Required) Pay By Check Pay with PayPalBilling Address(Required) Same as mailing address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Total NameThis field is for validation purposes and should be left unchanged.