Big Dig 2018 Registration
Billings Chapter GPAA
P.O. Box 21247
Billings, MT 59104
May 26-28, 2018
This Form is to be used when SHIRTS are being ordered.
Name::
Address:
Phone Number:
Where are you Staying?
Vehicle:
Make,
Model
Color,
Plate
Any Medical Condition we need to know about?
Emergency Contact Name & Phone Number
Do you have Medical Experience?
IF YES, What Type?
What shift would you prefer to work?
Work With?
Everyone is responsible for themselves.

The Billings Chapter GPAA or its Officers WILL NOT Be held responsible for any injuries that may incur during the event.

I have read the above statement and agree to the terms set forth.
By placing you name in the above box, it constitutes your signature and agreement to the terms.
Name of Person Agreeing
Were Glad Your are going to Join US in Zortman, Montana


Order your 2018 Big Dig Shirts HERE. April 15th is the DEADLINE TO ORDER.
Name Attending / Digging.
Shirt
Y/N
Shirt Color
Shirt Size
# of Shirts
Name on Shirt
(15 Letters MAX)
1.
2..
3.
4.
5.
Select the Total Number of Shirts you are Ordering from Dropdown menu above and ADD together for total.
Remit payment by APRIL 15, 2018 to:
Billings Chapter GPAA
P.O. Box 21247
Billings, MT 59104
Shirts = $20.00 ea..
TOTAL for all Shirts =
Shirt Sleeve