First Tuesday Sign Up ~ October 5, 2021

Registrant's Name:*
First Last
Registrant's Email Address*
Second Registrant's Name (If Applicable):
First Last
Are you bringing additional guests?*
- Yes
- No
Additional Guests Names:
Name
First Last
Name
First Last
Total Number in Your Party*
Lecture Only or Dinner/Lecture*
- Lecture Only
- Dinner and Lecture
Prepay Online or Pay at Door?*
- Prepay Online. FWA Will Send Credit Card Payment Link
- Will Pay at the Door