General Meeting at 1933

"*" indicates required fields

Hidden

Admin - Post Processing Payment Verification

Paid

Not Paid

Invoiced (not paid)

Information of Person Completing Form

Name*

First Last

Phone*

Email*

Company*

Dinner Reservations for 1933

Which Dinner(s) are you selecting?*

Chicken

Vegetarian

Fish

Which Month*

January through October Only

General Meeting Steak *

Price: $35.00

General Meeting Chicken *

Price: $35.00

General Meeting Fish *

Price: $35.00

General Meeting Vegetarian *

Price: $35.00

Folks Having Steak*

First Name

Last Name

Please list all names. Use the "+" to add names if more than one person is having this item.

Folks Having Chicken*

First Name

Last Name

Please list all names. Use the "+" to add names if more than one person is having this item.

Folks Having Fish*

First Name

Last Name

Please list all names. Use the "+" to add names if more than one person is having this item.

Folks Having Vegetarian*

First Name

Last Name

Please list all names. Use the "+" to add names if more than one person is having this item.

Coupon

API Lifetime Member OR an API Speaker?*

Yes

Enter Coupon Code Here*

Note: 100% of the total will removed

Raffle Tickets

Super Prize Raffle Tickets (General Meeting)

Price: $5.00

Two prizes worth $500!

Total and Payment Options

Total

Payment Options*

PayPal (You may use your PayPal account or use your CC on the PayPal site)

(Contact chartwig@pcl.com if you have any question...DO NOT RESUBMIT IF YOUR PAYMENT IS NOT ACCPETED)

Add Note to Organizer (Optional)

Name

This field is for validation purposes and should be left unchanged.

API-SJV AT-A-GLANCE

CALENDAR

If the calcendar cannot be viewed, please do the following: If you use Safari, you have to go into your settings on your apple device, select Safari, and then under PRIVACY & SECURITY turn OFF “Prevent Cross-Site Tracking” or use Google Chrome.

General Meeting at 1933

Information of Person Completing Form

Dinner Reservations for 1933

Coupon

Raffle Tickets

Total and Payment Options

API-SJV AT-A-GLANCE

CALENDAR

QUICK CONTACTS

MEMBERSHIP

NEWSLETTER
SPONSORSHIPS

API DINNER RESERVATIONS

Mailing Address

GUEST & TECHNICAL
SESSION SPEAKERS

Social Media

Webmaster

General Meeting at 1933

Information of Person Completing Form

Dinner Reservations for 1933

Coupon

Raffle Tickets

Total and Payment Options

API-SJV AT-A-GLANCE

CALENDAR

QUICK CONTACTS

MEMBERSHIP

NEWSLETTER SPONSORSHIPS

API DINNER RESERVATIONS

Mailing Address

GUEST & TECHNICAL SESSION SPEAKERS

Social Media

Webmaster

NEWSLETTER
SPONSORSHIPS

GUEST & TECHNICAL
SESSION SPEAKERS