1. Registration

GBRIA Operations, Maintenance & Engineering Technology Exchange

When: Wednesday, December 5, 2018

Time: 11:30 am - 1:30 pm (Lunch is served at 11:30 am)

Lunch: $25 (Please Note: 48 hrs. notice required to cancel lunch)

Where: ABC Pelican Chapter, 19251 Highland Rd., Baton Rouge, LA  70810

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* 1. Company Name

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* 2. Attendee Name

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* 3. Other attendee

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* 4. Other attendee

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* 5. Other attendee

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* 6. Contact phone number (if first time registrant)

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* 7. Contact email address (if first time registrant)

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* 8. Please let us know below if you cannot eat SEAFOOD or would like a vegetarian lunch or have any special requests or comments. Thank you for registering!

**When completing the survey you will be redirected to GBRIA's Square Store where you can pay for your registration.**

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