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1. Name (Required.)

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2. Company/Organization (Required.)

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4. Phone (Required.)

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5. Additional Attendees (list all others attending)

This event is included in the membership fee for all corporate members (Illini Nation - 2 reserved seats, Orange & Blue - 4 reserved seats, Oskee Wow Wow - 6 reserved seats and Red Grange - 6 reserved seats).

All individual, duo or FamILLy members must pay $40 to attend this event.Individual payment for this event can be made by clicking HERE or checks may be mailed to: Illini Quarterback Club, PO Box 6233, Champaign, IL 61826-6233

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6. Sponsorship Level

For questions regarding your membership level, please email board@illiniqbc.com

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7. Do you (or anyone in your party) follow any dietary restrictions?

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