34th Annual
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Welcome to the 33rd Annual Great Gold Rush Auction

Saturday, June 3, 2017
Dale F. Halton Arena – James H. Barnhardt Student Activity Center

Reservation Form
Individual / Company Name:
Address (include City and Zip):

Contact Person:
Daytime Phone #:
Email Address:
Number of Reservations
(Cost: Table of Ten – $1,250; Individual – $125):
*Note: Changing the Number of Reservations will clear any information entered below in the Attendees information section
Please indicate the table name / sponsor:

Names and Addresses of Attendees
Address (include City and Zip):

Payment Method
Please Bill Me (Payment due prior to event)
Or you may send your payment via mail to the address below:

Charlotte 49ers Athletic Foundation
9201 University City Blvd.
Charlotte, NC 28223-0001
Phone: 704-687-1046
Fax: 704-687-0914
Please verify the above information is correct before submitting your request.

Presented by Chartwells
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49er Club logo
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