AFCEA DC Monthly Luncheon

Online Registration Form

Sept. 5, 2008 NSC Luncheon

(Please use one form per registrant; tab through the form to move
from field to field, as hitting the enter key will submit the data)

AFCEA Member Status?	Member of AFCEA NonMember
Membership Number
Prefix/Rank
First Name
Last Name
Title/Position
Company/Service/Org
Email
Tel
Fax
Address Street
Address City
Address State
Address Zip
Special Needs

Registration Rate	Industry Individual - $125 Industry Corporate Table Holder - No Charge (Please select "Industry Table Holder - No Charge" under Payment Method Below!) Government - No Charge (Please select "Government - No Charge" under Payment Method Below!)

Please tell us about you and your company.	Organization Other Your Occupation or Area of Expertise Other Your Company/Org's Area of Specialty Other

Would You Like to be Contacted About Becoming A Corporate Table Holder?	Yes, Please contact me about sponsorship opportunities. No thanks, not at this time.
COMMENTS How did you hear about the AFCEA DC's Monthly Luncheon?
PAYMENT

Payment Method

All Check Payments Should Be Made out to "AFCEA DC" and Mailed To: AFCEA DC 1220 L St. NW, Suite 100-407 Washington, DC 20005-4018 tel: 202-701-5808 Deadline for cancellations or refunds: 48 hours prior to the event. No refunds thereafter. Form created by: Capital Leadership Group Where the Public, Private, and Civic Sectors Converge. Copyright © 2005 [Capital Leadership Group] All rights reserved.