1. Registration

GBRIA 2019 Annual Meeting Gala

When: Friday, January 25, 2019
Time: 6:00 pm - 11:00 pm
Where: Country Club of Louisiana. 18400 Blvd. Louisiane, Baton Rouge, LA 70810
Laissez le Bon Temps Roulez! Join us for our new Annual Meeting format as a black-tie Gala event where spouses/guests are encouraged to attend! It's our way of reaching further into the community to share the message of the value of industry.

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* 1. Company Name

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* 2. Are you interested in sponsorship information for this event?

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* 3. Attendee Name

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* 4. Other attendee

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* 5. Other attendee

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* 6. Other attendee

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

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

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* 9. Please let us know below if you have any dietary restrictions, 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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