Triangle CREW Event Registration
Program Date:
MEMBER NAME:
GUEST NAME:
MEMBER COMPANY:
GUEST COMPANY:
MEMBER TELEPHONE:
GUEST TELEPHONE:
MEMBER
E-MAIL:
GUEST E-MAIL:
This guest qualifies for membership
Member will pay $40 for guest:
YES
NO
Collect $40 from guest
YES
NO
Guest is a sponsor; no fee required
YES
NO
Note: Only cash or checks are accepted as payment
Notes or requests:
Type in what in you see in the image below.
* Required Field
Security Image
(Security Image is case sensitive)
A fee will be charged for late registrations.
Send Registration With Payment To:
Kerry Saunders
NAI Carolantic Realty, Inc.
Fax: 832-7385
Make Checks Payable to:
Triangle CREW