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CHAPTER DINNER FORM PWX 2025
Please furnish information about your chapter or regional chapter dinner to be included on the PWX app and provide staff information on site. If you have any questions, please contact Cameron Harmeyer at charmeyer@apwa.org or 816-595-5259.
1.
Name of chapter or region holding the dinner.
2.
Chapter contact for questions about the dinner.
Full Name
Email Address
3.
Will this person be onsite and available to answer questions
Yes
No
4.
If the answer was “no” please supply onsite person’s name, email or onsite phone number
5.
Please provide the Restaurant/Facility name and address
6.
Date of the chapter dinner
Date / Time
Date
January
February
March
April
May
June
July
August
September
October
November
December
1900
1901
1902
1903
1904
1905
1906
1907
1908
1909
1910
1911
1912
1913
1914
1915
1916
Su
Sunday
Mo
Monday
Tu
Tuesday
We
Wednesday
Th
Thursday
Fr
Friday
Sa
Saturday
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Hour
Time
:
Minutes
AM/PM
-
AM
PM
7.
List cost of the chapter dinner per person and if there is a “cut off” number of persons set for the chapter dinner please list that number here
8.
List menu here or any other important information
9.
What is the deadline to register:
Date / Time
Date
January
February
March
April
May
June
July
August
September
October
November
December
1900
1901
1902
1903
1904
1905
1906
1907
1908
1909
1910
1911
1912
1913
1914
1915
1916
Su
Sunday
Mo
Monday
Tu
Tuesday
We
Wednesday
Th
Thursday
Fr
Friday
Sa
Saturday
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
10.
Can you pay at the door
Yes
No
We will be ordering off menu and everyone will pay for own meal
11.
Is there transportation provided to and from the restaurant/facility
Yes
No
12.
If listed yes transportation provided, please tell us location to be picked up and returned