MODERE MEETUP HOST 2020 REGISTRATION

Question Title

* 1. Please enter your name.

Question Title

* 2. Please enter your email address.

Question Title

* 3. Please enter your phone number.

Question Title

* 4. What is your Modere Meetup location address?

Question Title

* 5. The registration method is at the host’s discretion. Modere recommends that Meetups hosts use whatever method they prefer to register and charge their guests. Any legitimate manual or digital system is acceptable, including free services like EventBrite or TicketLeap.

What is your Modere Meetup registration link?

Question Title

* 6. What is the date and time of your Modere Meetup?

Date / Time

Date

Time

AM/PM

Question Title

* 7. Please upload a proof of attendance list. (This will be used to determine incentive eligibility.)

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.

Question Title

* 8. I acknowledge that any cost associated with hosting my Modere Meetup will be at my own expense.

Yes