EVENTS

Registration for June 7, 2018 Public Safety Lunch - Table

Please complete the form below to register:

required fields are in bold
 
I am a:
I have these designations:
CPP
PSP
PCI
First Name:
Last Name:
Title:
Organization:
Street Address:
City:
State:
Zip Code:
Email:
Phone:
Your chapter or organization
if not a Boston Chapter member
Total Number Attending :
This table registration requires seating of 10. Names of guests will be required at registration. If this is not available, please enter "TBD" for each guest name and email chapter@asis-boston.org with your guest list by June 1, 2018.
Dietary Restrictions/Allergies? :
Please let us know if you have any dietary restrictions or special needs.
Method of Payment:
Cancellation policy acceptance:
Enter your initials to confirm that you have read and accept the cancellation policy.