Can Do Cancer Trivia Night Registration

Complete this form to register for our fundraiser on October 29, 2022. Registration will close when we've reached capacity for our venue.

Team Name

If you haven't determined a team name you can submit it later.

vbkpyp0jtca8

Contact Person

Phone Number

Team Member Names and Emails

Number of Tables (8 people per table)

Early Bird Table Cost (before Oct. 1)

After Oct. 1 cost increases to $360/table.

Meal Deal Option

$100 Platters with Purpose (8 person meal: (Includes 2-3 meats, cheeses, fruits, veggies, nuts, chocolate/sweet, honey or jam, and any other accompaniment such as dried fruits, and specialty items.)
$60 Fong's Pizza (Two 16" pizzas and garlic parmesan bites)

We will contact you closer to the event to confirm food details.

Credit Card Information

Cardholder Name

Credit Card #

Expiration Date

Security Code

Billing Zip Code

Your total payment will be

Your credit balance will cover

Your credit card will be charged

Your bank account will be charged

Trivia Night Registration 2022