2026 United Way Trivia Night | United Way of Defiance County

Trivia Night Team

First Name *

Last Name *

Email *

Company Name

Team Name *

Event Fee(s) *

Einstein Level - $ 500.00

Genius Level - $ 250.00

Expert Level - $ 200.00

Urkle Level - $ 150.00

Total

Billing Name and Address

Billing First Name *

Billing Middle Name

Billing Last Name *

Street Address *

City *

Country *

State/Province *

Postal Code *