Providence, Rhode Island - Tuesday, May 27, 2014 -Thursday, May 29, 2014

Please enter name of attendee or attendees and company/organization as you want it to appear on the participant list and name badge

* First Name

* Last Name

* Email Address

* Company/Organization

* Mobile Phone

* Name of Hotel or Accommodation (or enter TBD)

* Arrival Date **Please enter date in following format - (dd/mm/yyyy or enter TBD)

* Departure Date (dd/mm/yyyy or enter TBD)

* Will you be attending the Dinner Annual Reception on Wednesday, May 28th?

* Dinner will be a Traditional New England Clam Bake. Entrees are either Lobster, Steak or Vegetarian. Please choose one (1).

* Additional Comments

* Will you be attending the Workshop on Friday, May 30th? (no additional charge)