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URL: https://www.tfaforms.com/4627503
Submission: On December 17 via manual from IN — Scanned from DE

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<form method="post" action="https://www.tfaforms.com/api_v2/workflow/processor" class="hintsBelow labelsAbove" id="4627503">
  <fieldset id="tfa_205" class="section inline">
    <legend id="tfa_205-L"><b>Please select guest type and number</b></legend>
    <div class="htmlSection" id="tfa_291">
      <div class="htmlContent" id="tfa_291-HTML"><span data-teams="true"><span dir="ltr" class="ui-provider a b c d e f g h i j k l m n o p q r s t u v w x y z ab ac ae af ag ah ai aj ak">All attendees are invited to attend the Networking reception
            prior to the event (including butler passed hors d'oeuvres and cash bar), three-course seated dinner, program featuring David Edelman, and entertainment by NUNNABOVE.</span></span></div>
    </div>
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      <label id="tfa_16-L" class="label preField " for="tfa_16">Individual: $260</label>
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          <option value="tfa_212" id="tfa_212" class="calcval-0">0</option>
          <option value="tfa_213" id="tfa_213" class="calcval-1">1</option>
          <option value="tfa_214" id="tfa_214" class="calcval-2">2</option>
          <option value="tfa_215" id="tfa_215" class="calcval-3">3</option>
          <option value="tfa_216" id="tfa_216" class="calcval-4">4</option>
          <option value="tfa_217" id="tfa_217" class="calcval-5">5</option>
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          <option value="tfa_306" id="tfa_306" class="calcval-0">0</option>
          <option value="tfa_307" id="tfa_307" class="calcval-1">1</option>
          <option value="tfa_308" id="tfa_308" class="calcval-2">2</option>
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          <option value="tfa_231" id="tfa_231" class="calcval-3">3</option>
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Text Content

EDUCATIONAL FORUM

Please select guest type and number
All attendees are invited to attend the Networking reception prior to the event
(including butler passed hors d'oeuvres and cash bar), three-course seated
dinner, program featuring David Edelman, and entertainment by NUNNABOVE.
Individual: $260
Please select... 0 1 2 3 4 5
Board Member/BELA/Student Spotlight Judge: $130
Please select... 0 1 2
Educator/Student/Nonprofit: $130
Please select... 0 1 2 3 4 5
Promo (Code Required):
Please select... 0 1 2 3 4 5 6
Promo Code


Subtotal $:


Guest Information: Enter one guest name here. Click BLUE text below this box to
add additional names.
First Name


Last Name


Familiar Name for Nametag (if different from above)


Company/School Affiliation

This will be displayed on the guest's nametag.
Work/School Email


Dietary Restrictions

NoYes
Dietary Restriction Comments:


CLICK HERE TO ADD NAMES OF ADDITIONAL GUESTS. Click as many times as needed.
Seating Request (if applicable)


How would you like to pay?

Please select... Credit Card
Amount Due $:


CC ENTERED


Billing Information
First Name


Last Name


Email Address


Billing Street


Billing City


Billing State

2 characters left.
Billing Zip


Billing Phone


Credit Card Number (Visa, MasterCard, American Express)


Credit Card Code


Credit Card Expiration Month (MM)

2 characters left.
Credit Card Expiration Year (YY)

2 characters left.
Number of Guests


Authnet_Hidden_Fields





reCAPTCHA helps prevent automated form spam.

The submit button will be disabled until you complete the CAPTCHA.


Contact Information