Online Registration

Fields with a * are mandatory and must be completed before sending this form.

Step 1

Event: August Business After Business Networking Reception Hosted by Phrog Personal Training Studio

Date: Thursday, August 12, 2010

Your Information (Primary Registrant)

Please Note: This is the contact information for the primary person attending the event. This may be different from the billing information (if paying by credit card) which will be filled out on the secure payment screen. Additional registrant information can be added later in this form (see below).

 

 

 



 



 

     



 

Number of Registrants*

You may register for others in addition to registering yourself/primary registrant for this event. If you would like to add more registrants for this event, please identify the total number of registrants below and add their contact info by pressing the "Add Registrant Details" button below.


Member Type Fee Qty Sub-Total
Members $25.00
Non-Members $40.00
Registration Total:
(Click for each additional registrant to add their contact details)