Register for Day at the Races - Associate Member Register for Day at the Races - Associate Members * Day at the Races Associate Member Ticket - $50 Day at the Races Sponsorship (Includes 2 Tickets) - $300 Name * Name First First Last Last Title Organization * Phone * Email * Sponsorship Ticket #1 Sponsorship Ticket #1 First First Last Last Ticket #1 Email Sponsorship Ticket #2 Sponsorship Ticket #2 First First Last Last Ticket #2 Email Total Payment Options Pay Online with Credit Card Mail Check to Southern Illinois Chapter for Healthcare Engineering, PO Box 192, Carbdonale, IL 62903 Credit Card Captcha Submit If you are human, leave this field blank.
