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Registration

Trivia_Logo_2011a.jpg

Register here for the 6th Annual
Great Humboldt Trivia Challenge!

After filling out this form, you may pay online using your debit/credit card or with your personal PayPal account. Or you may send a check/money order (payable to Humboldt Literacy Project) to:

Humboldt Literacy Project/Trivia
537 G Street
Suite 202A,
Eureka,CA 95501.

Advance ticket price includes admission and dinner; no-host bar also available. We will send you a confirmation/tickets when payment is received.

See registration form or brochure for details, or call the office for further information: 707-445-3655.


Registration/Tickets


Name of Team Leader (First and Last)
Organization/Sponsor
Address 1
Address 2
City
State
Zip
Phone
email
I will purchase online:
I will send a check or money order:
I want to support my favorite team with a donation! (Team Name Here):
Amount of team donation: