Regis University 2024 Iggy Beer Fest
Page 1
Your Info
I am a/an
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Student
Staff/Faculty
Alumni of Regis University
Alumni of Loretto Heights College
Parent/Family Member of a current student
Other
Student Name
Graduation Year if applicable (please use full year, example: 1985)
Other (comment below)
First Name
Last Name
Middle Initial
Maiden Name (if Applicable)
Name as you would like listed on your name tag
Email Address
Phone Number
Street Address
City
State
Zip Code
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Page 2
I have a discount code
Please enter your discount code
Discount Amount
You've entered the faculty/staff "buy one, get one" discount code. You may purchase a guest registration for no additional cost.
You've entered the Ranger Families discount code. You may register yourself and any guest at the discounted price of $28.
You have entered the student discount code. You may register yourself for the discounted price of $20.
You have entered the Iggy Friend discount code. You may register yourself and one guest for free!
I will be bringing a guest/guests
I will not be bringing a guest/guests
How many guests?
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1
2
3
4
Guest Information
Guest First Name
Guest Last Name
Guest is:
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Alumni of Regis University
Alumni of Loretto Heights College
Other
Other (comment below)
Guest Information
Guest First Name
Guest Last Name
Guest is:
Please select...
Alumni of Regis University
Alumni of Loretto Heights College
Other
Other (comment below)
Guest Information
Guest First Name
Guest Last Name
Guest is:
Please select...
Alumni of Regis University
Alumni of Loretto Heights College
Other
Other (comment below)
Guest Information
Guest First Name
Guest Last Name
Guest is:
Please select...
Alumni of Regis University
Alumni of Loretto Heights College
Other
Other (comment below)
I'd like to make a donation to support scholarships for students at Regis University
Donation options
Donation amount
25
50
100
Other amount
Other amount
$
Complete your payment
Registration Price
$
.00
Donation Amount
$
.00
Total Due
$
.00
Name on card
Card number
CVV
Expiration Date
Billing ZIP/Postal Code
Donation GAU ID
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