2021 Burns UC Reg – ASF Programs

Name *

First

Last

University Club Membership Number: *

Additional guest non-member tickets $40 *

Additional guest non-member tickets $40

I would like to help support the American-Scottish Foundation's heritage and cultural programing by making a donation.

Other Donation Amount

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

Email *

Comment or Message