Event Registration

Use this form to register and pay with a credit card or check. If you choose to pay by check, the information you enter below will be added to our records, but your reservation will not be confirmed until your payment is received.

You are registering for:

DIY Using Video to Gain Exposure & Build Community
Wed, Jan 20, 2010
6:30 PM - 8:30 PM

This event will take place at:

PressItOn USA
4100 N Miami Ave.
Miami (Design District), FL 33127

Event Costs:

Please indicate your membership level:

	Non- Member: No Charge
	Chapter Member: No Charge

Personal Information:

Please enter your name as you wish it to appear on your badge. To include your certification, enter it after your last name.
Example: Smith, CPPB

First Name:
Last Name:
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Phone Number:	- -