STC Phoenix Home Page

Tuesday, December 9, 2008 Meeting Registration Form

Use this form to register for the Lights, Camera, Murder event/meeting on Tuesday, December 9, 2008.

Your Contact Details

First Name:
Last Name:
Email:         
Phone:       
We need your phone in case there are problems or changes

Your Membership Status

Please select one. If you are bringing a guest, select only your status.

Member
Student
Non-Member

Payment

Finally, please select how you wish to pay.

Credit Card (through PayPal)
Cash or Check at Meeting

This entry was posted on Monday, September 15th, 2008 at 1:01 pm and is filed under Uncategorized. You can follow any responses to this entry through the RSS 2.0 feed. You can leave a response, or trackback from your own site.

Leave a Reply

You must be logged in to post a comment.