2025 5th Annual Reading & Vicinity Conservation Dinner Please complete the following questions for the Table Sponsor ContactSponsoring Union/Company* Contact Name* First Last Select a Union (choose "Friend of Labor" if not a union)*AFA / CWAAFGEAFSCMEAFTAFTRAAGMAALPAATUBACBCTGMBLEBRSCWAFriend of LaborGMPIAFFIAMAWIATSEBoilermakersIBEWIBTICWUCIFPTEILAILWUInsulatorsIronworkersIUAIUE / CWAIUECIUOEIUPAIUPATLIUNAMTTDNACUNALCNATBUNATCANFLPAOPCMIAOPEIUOtherPASSRoofersRWDSUSAG-AFTRASEIUSIUSMARTSPFPATWUUAUAWUBCUFCWUMWAUSWUWUAOther Union (Submit Your Own) Local # Phone*Email* Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Product NameChoose Sponsorship Level(s)* Platinum Sponsor ($10,000 & 5 Table Prizes) Gold Sponsor ($5,000 & 3 Table Prizes) Silver Sponsor ($3,500 & 2 Table Prizes) Bronze Sponsor ($1,750 & 1 Table Prize) Veteran Sponsor($2,000 & 1 Table Prize) Platinum Sponsors: Choose a Combination of 5 Table Prizes*Choose a Prize Combo5 Barnett Crossbows5 Henry Classic Lever Action .225 Orca Coolers4 Barnett Crossbows / 1 Henry Classic Lever Action .224 Barnett Crossbows / 1 Orca Cooler4 Henry Classic Lever Action .22 / 1 Orca Cooler4 Henry Classic Lever Action .22 / 1 Barnett Crossbow4 Orca Coolers / 1 Henry Classic Lever Action .224 Orca Cooler / 1 Barnett Crossbows3 Barnett Crossbows / 2 Henry Classic Lever Action .223 Barnett Crossbows / 2 Orca Coolers3 Henry Classic Lever Action .22 / 2 Barnett Crossbows3 Henry Classic Lever Action .22 / 2 Orca Coolers3 Orca Coolers / 2 Barnett Crossbows3 Orca Coolers / 2 Henry Classic Lever Action .221 Henry Classic Lever Action .22 / 2 Orca Coolers / 2 Barnett Crossbows1 Orca Cooler / 2 Henry Classic Lever Action .22 / 2 Barnett Crossbows1 Barnett Crossbow / 2 Henry Classic Lever Action .22 / 2 Orca Coolers1 Henry Classic Lever Action .22 / 3 Orca Coolers / 1 Barnett Crossbow1 Orca Cooler / 3 Henry Classic Lever Action .22 / 1 Barnett Crossbow1 Henry Classic Lever Action .22 / 3 Barnett Crossbows / 1 Orca CoolerGold Sponsors: Choose a Combination of 3 Table Prizes*Choose a Prize Combo2 Henry Classic Lever Action .22 / 1 Orca Cooler2 Henry Classic Lever Action .22 / 1 Barnett Crossbow1 Henry Classic Lever Action .22 / 2 Orca Coolers1 Barnett Crossbow / 2 Orca Coolers2 Barnett Crossbows / 1 Orca Cooler2 Barnett Crossbows / 1 Henry Classic Lever Action .223 Henry Classic Lever Action .223 Orca Coolers3 Barnett CrossbowsSilver Sponsors: Choose a Combination of 2 Table Prizes*Choose a Prize Combo1 Henry Classic Lever Action .22 / 1 Orca Cooler1 Henry Classic Lever Action .22 / 1 Barnett Crossbow1 Orca Cooler / 1 Barnett Crossbow2 Henry Classic Lever Action .222 Orca Coolers2 Barnett CrossbowBronze Sponsors: Choose 1 Table Prize*Choose a Prize Combo1 Henry Classic Lever Action .221 Orca Cooler1 Barnett CrossbowVeteran Sponsors: Choose 1 Table Prize*Choose a Prize Combo1 Savage Axis II1 Orca Cooler1 Barnett CrossbowTotal $0.00 Payment InformationHow would you like to pay?*Choose Payment MethodCredit Card - OnlineCheck - Mail-InPlease mail your check to: Union Sportsmen's Alliance Attn: Event Name 4800 Northfield Lane Spring Hill, TN 37174Credit Card*Card Details Cardholder Name Billing Address* Same as previous Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code