Silicon Valley Chapter - Santa Clara Valley Water District Tour Registration Form

This is the registration form for the Silicon Valley Chapter Tour of the Santa Clara Valley Water District Library

Location: Santa Clara Valley Water District, Blossom Hill Annex, 1020 Blossom Hill Road, San Jose, CA
Date: Wednesday, April 23, 2014.
Time: 6:30pm - 7:30pm

Suggested Donation
$5 SLA Members
$10 non-Members

Please register via this form and then pay at the door for this event.
Deadline for registration is April 22, 2014

Question Title

* Please enter your contact information. Each field must be completed.
If you do not want to enter certain information, please add an x to the line.
Minimum required is First/Last Name, and Email.

Note: If you are registering more than one person for this event, you will need to fill out a registration form for each person.

First name:

Last name:

Affiliation (if no affiliation use N/A):

Address:

City:

State:

Zip:

Phone (area code and number):

E-mail: