Event Registration – Manual

 

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Event Reservation Form

======================

Event to be registered (required, select one):

[ ] Dinner meeting, Oct 5
[ ] Dinner meeting, Nov 10
[ ] Dinner meeting, Dec 6
[ ] Dinner meeting, Jan 12
[ ] Dinner meeting, Feb 7
[ ] Dinner meeting, Mar 6
[ ] Dinner meeting, Apr 3
[ ] Dinner meeting, May 10

[ ] Other meeting / event:  ___________________



Your Name (required)

_____________________________


Your Email address (required)

_____________________________


Company

_____________________________


Membership (required):

[ ] ASQ Baltimore

[ ] ASQ Other

[ ] MPEF

[ ] Other membership (comments)

[ ] No affiliation


Meal Requirements (required, select one):

[ ] Standard meal is fine.

[ ] Vegetarian

[ ] Vegan (no meat / no dairy)

[ ] I will not be eating a meal.

[ ] Other (in comments)


Additional (select all that apply):

[ ] New member with coupon

[ ] I have other coupon

[ ] I am interested in volunteering

[ ] Contact me regarding Section opportunities

[ ] Add me to Outreach mailing list (non-Section members only)


How did you find out about this meeting?: (required, select one)

[ ] Website Front Page

[ ] Website-RSS Feed

[ ] Section Email

[ ] Word-of-mouth/Invitation

[ ] Board Member

[ ] Found out another way (note in comments)


Industry: (what industry or type of work are you in?)

_____________________________


Any Additional Comments

_____________________________

 

Please copy/paste the above text into an email message and send this information for your reservation to  .

Thank you.

[select* menu-479   "Dinner meeting, Oct 5" "Dinner meeting, Nov 10" "Dinner meeting, Dec 6" "Dinner meeting, Jan 12" "Dinner meeting, Feb 7" "Dinner meeting, Mar 6" "Dinner meeting, Apr 3" "Dinner meeting, May 10" "Cancel a reservation - Note meeting in Comments" "I don't wish to register - I have a question"] </strong></p>

Dinner meeting, Oct 5