National Wrestling Hall of Fame – California Chapter

Induction Banquet Registration Form

Laguna Hills Community Center, 25555 Alicia
Parkway Social 2:00 Dinner 3:30 Ceremony following

Induction Banquet Registration Form

Please reserve

Number of seats

seats @ $75 each.

Enclose is my check in the amount of $

Enclosed amount check

My Honoree is

Honoree name

I am unable to attend, but have enclosed of $

special contribution

A portion of the contribution may be tax deductible. (tax ID#23-7233488)

Please print the names of all the people in your party:

Name 1

Name 2

Name 3

Name 4

Name 5

Name 6

Name 7

Name 8

If you are human, leave this field blank.