Skip to main content
Search
Search
History
About Us
Our Team
Board of Directors
Members of the Corporation
Contact Us
Women United & Leaders United
Women United
Leaders United
2020 Emerging Leaders
Partner Organizations 2022-2023
Campaign Leadership
2021 Campaign Corporate Leadership
2022 Campaign Leadership Club
2022 Campaign Corporate Leadership
2021 Campaign Leadership Club
Calendar
Workplace Campaigns
Volunteer
Donate
Main menu
History
About Us
Our Team
Board of Directors
Members of the Corporation
Contact Us
Women United & Leaders United
Women United
Leaders United
2020 Emerging Leaders
Partner Organizations 2022-2023
Campaign Leadership
2021 Campaign Corporate Leadership
2022 Campaign Leadership Club
2022 Campaign Corporate Leadership
2021 Campaign Leadership Club
Calendar
Workplace Campaigns
Volunteer
Donate
Mobile Menu Main navigation
History
About Us
Our Team
Board of Directors
Members of the Corporation
Contact Us
Women United & Leaders United
Women United
Leaders United
2020 Emerging Leaders
Partner Organizations 2022-2023
Campaign Leadership
2021 Campaign Corporate Leadership
2022 Campaign Leadership Club
2022 Campaign Corporate Leadership
2021 Campaign Leadership Club
Calendar
Workplace Campaigns
2022 Hot Wing Eating Contest
2022 Hot Wing Eating Contest
Business Name
*
If sponsoring a contestant, please type their full name.
Name of Contestant Being Sponsored or Registering
*
Select Dunkies
11-Noon Buffalo Wild Wing's JMike
12-1pm Mayor Andy Lang
1-2pm Senator Mike Romano
2-3pm Aaron Kunzler
4-5pm Derek Hughes
5-6pm Jeremy Jones
7-8pm Shawn Bennett
(The person completing this form should enter their info below.)
First Name
*
Last Name
*
Age
Gender
*
Male
Female
Street Address
*
City
*
State
*
- select State/Province -
Alabama
Alaska
American Samoa
Arizona
Arkansas
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
United States Minor Outlying Islands
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Postal Code
*
Email
*
Phone
*
Event Fee(s)
Entry Fee (for contestants only)
- select -
Entry Fee - $ 20.00
Pledge ($) Amount Per Wing Eaten in eight minutes
(Sponsors will be invoiced after the event for donations per wing eaten in eight minutes) Please select I will send payment by check option below.
Flat Pledge Amount
If sponsoring a contestant, please enter 1$ increments.
Dunk Tank Entries
$ 10.00
Please enter the number of entries you wish to purchase. 5 throws per entry
Total
Credit Card
Card Type
- select -
Visa
MasterCard
Amex
Discover
Card Number
Security Code
Expiration Date
*
-month-
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
-year-
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
My billing address is the same as above
Billing Name and Address
Billing First Name
*
Billing Middle Name
Billing Last Name
*
Street Address
*
City
*
Country
*
- select -
United States
State/Province
*
- select State/Province -
Alabama
Alaska
American Samoa
Arizona
Arkansas
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
United States Minor Outlying Islands
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Postal Code
*
Review your registration