Step 2 of 4 (Registration Form)

QC Stars Stripes & Saxophones 2025
Participate

in Bettendorf, IA at Veterans Memorial Park, Bill Bowe Bandshell Stage

Please enter your registration information in the form below. When you are finished, click the "Proceed to Confirmation Page" button to continue. Required fields are marked with a *.

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Personal Information

Payment Information

Please enter your billing information. The credit card type will be determined automatically. Your information will be processed over a secure, encrypted connection. Once you have finished registering, GetMeRegistered.com will not store your credit card details.

Since this is a free registration, your payment information is only required if you have selected additional registration options in the form above.

credit card number

Expiration

security code

Copy name, country, address, postal code, city, and state/province from above?

name on card

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billing postal code

billing city

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Proceed to Confirmation Page

QC Stars Stripes & Saxophones 2025
Participate

Personal Information

Address Information

Contact Information

T-shirt Selection

Questions & Add ons

1. First Choice Instrument: *

2. Second Choice Instrument: *

3. Education Level: *

Purchase Shirt(s)

extra-small ($20.00)

small ($20.00)

medium ($20.00)

large ($20.00)

extra-large ($20.00)

double extra-large ($20.00)

Please consider a contribution.

Please Help Support Our Cause:

Payment Information

QC Stars Stripes & Saxophones 2025 Participate

Personal Information

Address Information

Contact Information

T-shirt Selection

Questions & Add ons

1. First Choice Instrument: *

2. Second Choice Instrument: *

3. Education Level: *

Purchase Shirt(s)

extra-small ($20.00)

small ($20.00)

medium ($20.00)

large ($20.00)

extra-large ($20.00)

double extra-large ($20.00)

Please consider a contribution.

Please Help Support Our Cause:

Payment Information

QC Stars Stripes & Saxophones 2025
Participate