MEANT
Malayalee Engineers Association of North Texas
A Professional-Socio Organization
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Home - Programs - Annual Banquet 2010
MEANT ANNUAL BANQUET- 2010 Registration Form
Name *
Email address
Address
 (example, 123 joe st, city, tx -zip)
Telephone
No of Adult Attendees
No of children Attendees (less than 10 years old)
No of children Attendees (over 10 years old)
Includes Membership
 Yes No
Amount
 (Please enter the amount as per the rate sheet above, including guest fee. If you are paying membership fee, add that too. )
Remarks
 (Please give the name of attendees, excluding children, separated by ;)
 

(On clicking the submit button, you will be shown a confirmation screen. Upon confirmation you will be directed a secured payment site to complete your payment).

 
   
   
   
   
 
 
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