Event Registration – Manual

 

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Event Reservation Form

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

Event to be registered (required, select one):

[ ] Dinner meeting, Jan 8
[ ] Dinner meeting, Feb 7
[ ] Dinner meeting, Mar 12
[ ] Dinner meeting, Apr 9
[ ] Dinner meeting, May 16

[ ] 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.