2025 Will Rogers Medallion Award Banquet Ticket Order Form

November 1st, 2025 at the Hard Rock Hotel, Tulsa

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Name: ________________________________________________________                                                                    

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Email: _________________________________________________________

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I would like to order _______  Award Show Banquet tickets at $70 each

                                                          

  ________  x  $ = ________ Total

 

I would like to pay by:    

Check  (enclosed)______

Money Order (enclosed)______

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My name tag(s) should read: __________________________________________,    ______________________________   _____________________________,  _____________________________________

 

                                            Mail To:   Laurie Cockerell

5313 Santa Marie Ave.

Fort Worth, Texas 76114

*Make checks out to Will Rogers Medallion Award, please

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Due Date & Refund Policy:

Reservations due by October 1, 2025, and are non-refundable if cancelled within one week of the banquet. In the (we believe) unlikely event we are forced to cancel the Award Banquet, we will refund your reservation.