Super Quiz Bowl 2024

RSVP Information

Registration
100% of the registration fee is a gift to support your department’s end-of-year activities.
Select	Description	Amount

	Team Member Price - $15 ( $15 Tax Deductible )
	Individual Participant price- $15 ( $15 Tax Deductible )
	Sponsor a team of 5 members price - $60 ( $60 Tax Deductible )

Sub-Total:
Tax-Deductible:

* *

Grand Total:

Tax-Deductible:

Contact Information

Personal

Title:

First name:

Middle name:

Last name:

Suffix:

I am making this gift as a proxy for my organization/company, which should be recognized as the legal donor

UCLA graduation year(s):

Contact Information

Street:

U.S. Addresses

City, State, Zip:

Non-U.S. Addresses

Non-U.S. City/County
or Province/Postal Code:

Country:

This address is my:

Home

Business

Home telephone:

Invalid phone number *

Business telephone:

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E-mail address:

This e-mail is my:

Home

Business

Payment

Payment method:

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Additional Information

Note: Please enter “N/A” in the fields below if you are attending, but not participating on a team.
	* Department:	*
	* Team Name:	*
	* Student Team Members:	*
	Faculty/Staff/Alumni Team Member:

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