Omaha Press Club Event Reservation Form

First/Last Name: *

Number Attending: *

Event Date: *

Arrival Time:

Event Name: *

Preferred Area For Seating:

Phone Number: *

Email Address: *

Are you an OPC Member?

Yes

No

How would you like to pay? *

OPC Member Account

Pay online (using credit or debit card)

Contact me for payment details (credit or debit card)

Membership Number: *

Online payment for event registration (Noon Forums, Shatel Series, etc.). Please make sure you are choosing the correct member or non-member pricing for the event, as this is the amount your card will be charged. *

Online payment fee *

Online Payment Fee (5%)

Press Calculate For Your Total Amount To Be Charged:

$0.00

Special Request: