Registration Form
Please Select:
*
I would like to pay online via credit card
I would like to pay at the door
I can't make it to this month's lunch presentation, but I want to continue to participate when available.
Please select the topics below that interest you
USU & Higher Education Updates (e.g., college updates, research breakthroughs, global reach, presidential updates, Aggie athletics, alumni experiences, etc.)
Cache Valley & Utah Connections (e.g., history, water/drought,Downtown Logan, Arts, theatre, museums, recreations, conservation, business outlook, housing, real estate, etc.)
Health & Longevity, & Lifestyle (e.g., cognitive, nutrition, exercise, Medicare, retirement, technology, mindfulness, well-being, etc.)
Travel, Adventure & Lifelong Learning (e.g., Aggie Adventures, photography, philanthropy,National Parks, USU Continuing Ed, tourism, etc.)
Science, Society, & Innovation (artificial intelligence, climate change, space exploration,in the lab, energy, etc.)
Humanities, Arts & Reflection (writing, antique roadshow, family history, music memory, Utah authors, faith, ethics, architecture, etc.)
Community, Service, & Impact (e.g., local volunteering, mentorships, scholarships, endowments, EAREA updates, Aggie impact, etc.)
Member-Led or Interactive Options (e.g., research stories, success stories, show & tell, trivia, panels, talent share, etc.)
Other topic areas and/or specific ideas or recommended presenters
How many people will be purchasing a ticket to this month's program? (Door Payment)
*
How many people will be purchasing a ticket to this month's program?
*
Would you like to add an additional donation?
Would you like to bring a non EAREA guest at no cost? (Two free guests allowed)
Yes, I would like to bring a non EAREA guest
Name
*
First Name
Last Name
Guest Name
First Name
Last Name
Guest Name
First Name
Last Name
Guest Name
First Name
Last Name
Guest Name (no charge)
First Name
Last Name
Guest Name (no charge)
First Name
Last Name
Guest Names
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Billing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Total Calculation From Tickets
Total From Donation
Total From Both
Total
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