Meet-Up at Casona
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1. Default Section
1
. What day of the week would be best for you to attend? (Check all that apply)
What day of the week would be best for you to attend? (Check all that apply)
Tuesday
Wednesday
Thursday
2
. When would you be able to attend? (Check all that apply)
When would you be able to attend? (Check all that apply)
Late February 2010
March 2010
3
. What time would you prefer to be seated for dinner? (Check one)
What time would you prefer to be seated for dinner? (Check one)
5:30 p.m.
6 p.m.
6:30 p.m.
4
. How many people in your group would be attending?
How many people in your group would be attending?
Number
5
. Please provide the following information (will not be used for any purpose beyond follow-up regarding a meet-up):
Please provide the following information (will not be used for any purpose beyond follow-up regarding a meet-up):
Name:
City/Town:
State:
-- select state --
AL Alabama
AK Alaska
AS American Samoa
AZ Arizona
AR Arkansas
CA California
CO Colorado
CT Connecticut
DE Delaware
DC District of Columbia
FM Federated States of Micronesia
FL Florida
GA Georgia
GU Guam
HI Hawaii
ID Idaho
IL Illinois
IN Indiana
IA Iowa
KS Kansas
KY Kentucky
LA Louisiana
ME Maine
MH Marshall Islands
MD Maryland
MA Massachusetts
MI Michigan
MN Minnesota
MS Mississippi
MO Missouri
MT Montana
NE Nebraska
NV Nevada
NH New Hampshire
NJ New Jersey
NM New Mexico
NY New York
NC North Carolina
ND North Dakota
MP Northern Mariana Islands
OH Ohio
OK Oklahoma
OR Oregon
PW Palau
PA Pennsylvania
PR Puerto Rico
RI Rhode Island
SC South Carolina
SD South Dakota
TN Tennessee
TX Texas
UT Utah
VT Vermont
VI Virgin Islands
VA Virginia
WA Washington
WV West Virginia
WI Wisconsin
WY Wyoming
Email Address:
6
. Please add any other comments regarding the potential meet-up here - to contact me directly, e-mail gfphilly [at] gmail [dot] com
Please add any other comments regarding the potential meet-up here - to contact me directly, e-mail gfphilly [at] gmail [dot] com
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