AI Series Registration Form

AI Lunch & Learn Series Registration

July 9th, 16th, and 23rd | 11 am - 1 pm EST
Company
Title
Name

First NameLast Name
E-mail
example@example.com
Phone Number
Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
How did you hear about the workshop?

Other
By registering, you consent to the use of your image and likeness by the McElhattan Foundation and FICDA for promotional and marketing purposes related to this event and future programs. No compensation will be provided for such use.
Do you require any dietary accommodations for meals provided during the event?
Please list dietary restrictions or accommodations

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How many will attend?
prevnext( X )
AI Series Registration
Your registration fee includes access to all three sessions and lunch during each event. An invoice will be emailed to the registrant. Space is limited, and registration is confirmed upon receipt of payment.

$50.00 Quantity

Total

$0.00
Please list additional names you are registering

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AI Lunch & Learn Series Registration