12/12 Event Registration: Community Reception with Ethiopian Leaders

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WAC Member - FREE
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Non-Member - FREE
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Student - $5
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Registration Information

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Name*

First NameLast Name
Email*
example@example.com
Title or Occupation**
*Grade Level/Program of Study for Student
Employer* (N/A if retired)*
*Affiliated University or School for Students
My annual membership with the World Affairs Council is currently active.*
Are you interested in becoming a member of the World Affairs Council?
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Please add my email to the Council's newsletter.
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We request voluntary demographics information as it gives us a snapshot of the diversity of our program participants so that we can better serve them, as well as measure the effectiveness and success of our diversity, equity, and inclusion efforts.

We respect our attendees' privacy and will not share individual information publicly.
Age
Racial/Ethnic Identity
Gender Identity
Racial/Ethnic Identity Self-Describe
Gender Identity Self-Describe

Registration Information of Additional Guests
Name of Second Participant*

First NameLast Name
Email (2)*
example@example.com
Title or Occupation* (2)*
*Grade Level/Program of Study for Student
Employer* (N/A if retired) (2)*
*Affiliated University or School for Students
We request voluntary demographics information as it gives us a snapshot of the diversity of our program participants so that we can better serve them, as well as measure the effectiveness and success of our diversity, equity, and inclusion efforts.

We respect our attendees' privacy and will not share individual information publicly.
Age (2)
Racial/Ethnic Identity (2)
Gender Identity (2)
Racial/Ethnic Identity Self-Describe
Gender Identity Self-Describe
Name of Third Participant*

First NameLast Name
Email (3)*
example@example.com
Title or Occupation* (3)*
*Grade Level/Program of Study for Student
Employer* (N/A if retired) (3)*
*Affiliated University or School for Students
Age (3)
Racial/Ethnic Identity (3)
Gender Identity (3)
Racial/Ethnic Identity Self-Describe
Gender Identity Self-Describe
Name of Fourth Participant*

First NameLast Name
Email (4)*
example@example.com
Title or Occupation* (4)*
*Grade Level/Program of Study for Student
Employer* (N/A if retired) (4)*
*Affiliated University or School for Students
Age (4)
Racial/Ethnic Identity (4)
Gender Identity (4)
Racial/Ethnic Identity Self-Describe
Gender Identity Self-Describe
Name of Fifth Participant*

First NameLast Name
Email (5)*
example@example.com
Title or Occupation* (5)*
*Grade Level/Program of Study for Student
Employer* (N/A if retired) (5)*
*Affiliated University or School for Students
Age (5)
Racial/Ethnic Identity (5)
Gender Identity (5)
Racial/Ethnic Identity Self-Describe
Gender Identity Self-Describe

Order Review
Member Registration: {ticketQuantity} ticket(s) x (${ticketPrice})
Non-Member Registration: {quantity79} ticket(s) x (${ticketPrice90})
Graduate/Undergraduate Registration: {quantity104} ticket(s) x (${ticketPrice103})
Donation: ${enterDonation}
Discount Code: {enterDiscount}
Subtotal: ${orderTotal95}
Payment Details
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program title

Event Description

Details

Venue

Registration Tickets

Registration Information

Registration Information of Additional Guests

Order Review

Payment Details

Please skip entering your credit card details and click the "Submit" button below as your Order Total is for $0.