Black Warrior Council, BSA

P.O. Drawer 3088

Tuscaloosa, AL 35403

Centennial Volunteer Recognition Banquet Ticket Request Form

This form is for registered volunteers in the Black Warrior Council to request tickets for the Centennial

Volunteer Recognition Banquet featuring key note speaker Coach Nick Saban. Each volunteer may

request up to four tickets. These tickets are not to be reproduced or sold for any reason. Non -volunteer

seats are available for $150 each. Without a valid membership number, ticket prices will be changed

automatically.

In order to reserve up to four tickets for the banquet, please return this form along with payment to the

Black Warrior Council office. Tickets are limited and are sold on a first come first serve basis. All tickets

are pre-sale only and no tickets will be available at the door. An official ticket is required for entry to the

event. Volunteer ticket prices are $50 a seat. Eagle Scouts, their parents and Silver Beaver recipients and

spouse will be invited to be the Council’s guest at the banquet at no cost.

Seating will be determined by Council Banquet Committee.

Name______________________________________________

Address____________________________________________

City_____________________________ ST____ Zip_________

E-mail________________________________________________________________________________

Number of tickets requesting ___________

Unit type and number___________________

Volunteer position______________________

Membership number____________________

Total amount enclosed___________________

(Seats are not secured without payment/ based on availability)

Signature__________________________________________ Date__________________________