Western MI Event RSVP Form

NUCA Western Michigan Chapter Formation Happy Hour & Framework Meeting

Happy Hour - Tues. Oct. 22nd 5:00 - 7:00 pm Framework Meeting - Wed. Oct. 23rd 8:00 - 10:30 am
Please Complete This Form to RSVP for the Happy Hour, Chapter Framework Meeting, or both.
Company Name*
Your Name*

First NameLast Name
Title*
Office Phone Number*
Mobile Phone
E-mail*
example@example.com
My company is a:*

Contractor / Excavator (Utilities, Dirt)Municipality/Public Works Dept.Associate (goods/services supplier)Specialty Contractor (non-Utilities, Dirt)Other
Address*

Street Address

Street Address Line 2

CityState

Zip Code

How many people from your company are you registering to attend?*
I/we are registering to attend the:*
Select one event or both
Please provide the first & last name for each member of your company who will attend.

Please click Submit to save your registration for the Western Michigan Utility Construction Reception.
Should be Empty:

NUCA Western Michigan Chapter Formation Happy Hour & Framework Meeting