Minnreg Event Registration Form
Wednesday, January 8 Social
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Are you an active (dues paid) MVA member?
*
Yes
No
Register me for the Wednesday, January 8th social at Quaker Steak & Lube, 10400 49th Street N., Clearwater, FL 33762. Doors open at 4 pm.
I will attend alone
I will bring a guest
I am bringing a guest to this event (I understand they will have to pay for the event.) Please include guest's name below.
Wednesday, January 8th social at Quaker Steak & Lube, 10400 49th Street N., Clearwater, FL 33762.. Doors open at 4 pm. Guest fee is $15 payable at the door.
Other
Guest Name
First Name
Last Name
Do you have dietary restrictions? Please indicate your restrictions below so we can contact the caterer.
Submit
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