Luncheon Registration

Category: Events Published Date Written by Super Admin Hits: 5398

Luncheon Registration for 31 MAY 2012
Opportunity to register ends on 24 MAY 2012 at 1200 hours


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	Tell us about yourself Rank / Title: First Name: Last Name: Military Organization: Contractor Corporation: Email: Work or Cell Phone: Do you have an AFCEA Membership?: Yes No Do you know your member number?: Yes No If yes, type it here: Are you a club member? Yes No Last 4 of Club Card Number ($2 discount for AFCEA): Expires: Month Year Are you paying with your club card? (non-afcea members): Yes No Are you a Program Sponsor? Yes No Will you need assistance getting on base?: Yes No

Select a menu item:

$13.00 Chef Salad

$13.00 Chicken Teriyaki

Chicken Teriyaki with rice pilaf and vegetable medley