Charity Trivia Night

Charity Trivia Night

Proceeds to support Shop With a Cop
Select Type of Registration (Check all that apply)

4 Person Table8 Person TableDonation
If you do not know all team members names now, please just put TBD in the box
Team Name
Group Contact Name/ Team Member 1

First/Last NameEmail Address
Team Member 2

First/Last NameEmail Address
Team Member 3

First/Last NameEmail Address
Team Member 4

First/Last NameEmail Address
Team Member 5

First/Last NameEmail Address
Team Member 6

First/Last NameEmail Address
Team Member 7

First/Last Name Email Address
Team Member 8

First/Last NameLast Name
How will you be paying?*
Business/Person's Name Donating
Complete PayPal purchase BEFORE clicking "Submit Form"

**For tax purposes : McHenry Police Officers' Association Tax ID #36-436-2920
Payment
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4 Person Table
$200.00



8 Person Table
$400.00



Donation
$10.00 Multiples of $10



Total

$0.00
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4-Person Table : $200

8-Person Table: $400

Please make check payable to MCPOA and mail the check to:

McHenry Police Department

ATTN: Ofc. O'Herron

333 S Green ST

McHenry, IL 60050

OR

Bring cash to McHenry PD and ask for Ofc. O'Herron (M-F 8AM-4PM).

** RESERVATION NOT SECURE UNTIL PAYMENT IS RECEIVED**

** For tax purposes : McHenry Police Officers' Association Tax ID #36-436-2920
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