Curly Tails & Cocktails 2024 ***NO INFORMATION ON THIS FORM WILL BE SHARED WITH ANY OUTSIDE ORGANIZATION, BUSINESS OR INDIVIDUAL*** Name* First Last Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email* We will send your purchase confirmation to this email addressTicketsYou will not need to bring any printed tickets/documentation to the event. Check in is at the front desk under the name used to purchase the tickets. If you do not receive a ticket purchase confirmation email, please email us at info@pugpartners.com. Thank you for your support of Pug Partners of Nebraska!Pre-Registration Single Ticket Price: $45.00 Quantity: Includes dinner and 2 drink tickets. Attendees must be 21 to attend this event.Pre-Register Two Tickets Price: $80.00 Quantity: Includes 2 dinners and 4 drink tickets. Attendees must be 21 to attend this event.Pre-Register for a Table of 8 Price: $300.00 Quantity: Includes 8 dinners and 16 drink tickets at a reserved table. All attendees must be 21 to attend this event.Total $0.00 I understand that this event is benefitting a non-profit 501(c) (3) organization, Pug Partners of Nebraska, developed and coordinated by members and friends. By signing this form, I hereby waive any claims against the organizers or volunteers for any acts of negligence or breach of any actual or implied contract committed in connection with this event. I understand that I am entering this event at my own risk and I take full responsibility for my actions.* I have read and agree to the above. This form must be filled out - (either here online or in-person at registration) in order to participate attend Curly Tails & Cocktails 2024.Electronic Signature First Last Today's Date After clicking "Purchase Tickets" you will be sent to PayPal's website to enter your payment information and complete the transaction. Δ