Rush Party 2021 Registration Form

Member #1

Please provide the personal information of the member for whom you'll be paying.

Member #2

Please provide the personal information of the member for whom you'll be paying.

Member #3

Please provide the personal information of the member for whom you'll be paying.

Member #4

Please provide the personal information of the member for whom you'll be paying.

Member #5

Please provide the personal information of the member for whom you'll be paying.

Member #6

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Member #7

Please provide the personal information of the member for whom you'll be paying.

Member #8

Please provide the personal information of the member for whom you'll be paying.

Member #9

Please provide the personal information of the member for whom you'll be paying.

Member #10

Please provide the personal information of the member for whom you'll be paying.
If you wish to pay offline, checks can be made payable to: "National Capital Pond" and mailed to: Tiffany Barrett, 307 S. Atwood Rd. Bel Air Md. 21014. Otherwise, click Submit below to proceed to online payment.
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National Capital Pond

Serving Members in Maryland, Northern Virginia, & Washington D.C.

The Honorable Order of the Blue Goose International is a fraternal organization of insurance industry professionals.

As Ganders of the National Capital Pond you will find character, charity, and fellowship in abundance among a welcoming group of friends and colleagues.

A place has been saved for you!

Please join us.