EClub RI - Guest Registration

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Guest Registration — EClub Lunch Meeting

If you have received a personal invitation to come as the guest of a member and meet the Membership Qualifications and agree to the Membership Principles please enter all of the information requested in the registration form below and click the "Submit" button.

Guest registration is $50 (prepaid/non-refundable -- reserves a seat, lunch buffet, and speaker's materials).

Full Name:
Title:
Company:
Address:
City:
State:	Zip:
Office Phone:	Ext:
Cell Phone:
Email Address:
Type of Business:
Invited by:
Qualifications:		I confirm that I meet all requirements
EClub Principles:		I agree to abide by the EClub Principles
Meeting Date:
Payment: