Use the Trip Payment Form below to make a deposit for our 3rd annual December Bash December Bash 2024 – Deposit Form Your Name(Required) First Last Your Contact Phone Number(Required)Your Email(Required) Room Assignment(Required) Male Bunkroom Female Bunkroom Rooming with my own roommates Nights you are staying(Required) Friday Dec. 13th Saturday Dec. 14th How many in your group?(Required) 1 2 3 4 Are you paying for anyone else in the group at this time?(Required) No 1 2 3 Input appropriate quantities below for yourself and anyone else you intend to pay for at this time. Non-members have our $5 guest membership baked into their pricing.Friday night – members Quantity Price: $45.00 Quantity Saturday night – members Quantity Price: $45.00 Quantity Friday night – non member guest Quantity Price: $50.00 Quantity Saturday night – non member guest Quantity Price: $50.00 Quantity Insert Names of everyone you are paying for except your own.Name First Last Email PhoneName First Last Email PhoneName First Last Email PhoneTotal Credit CardCard Details Cardholder Name Credit Card Billing Address(Required) Street Address 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 Rooming with others, but they are paying on their own- Limit 4 to a roomName First Last Email PhoneName First Last Email PhoneName First Last Email PhoneComments