Team Registration - Take Aim at Progress

Before April 1

$1,400.00

per 6-person team

After April 1st

$1,500.00

per 6-person team

Company Information

Company Name *

Contact Name *

Job Title

Address *

City *

State *

Zip Code *

Telephone *

Email Address *

Team Members

Member 1 Name *

Gauge *

T-Shirt Size *

Member 2 Name *

Gauge *

T-Shirt Size *

Member 3 Name *

Gauge *

T-Shirt Size *

Member 4 Name *

Gauge *

T-Shirt Size *

Member 5 Name *

Gauge *

T-Shirt Size *

Member 6 Name *

Gauge *

T-Shirt Size *

Payment Instructions

Please make checks payable to: NRECA International

Mail payment to:
Coweta-Fayette EMC
Attn: Greg Perry
807 Collinsworth Road
Palmetto, GA 30268