Meeting Registration

*	First Name:
*	Last Name:
*	Email Address:
*	Day:
*	Month:
*	Year:
*	Are you a member?:	Yes No
*	Will someone be attending on your behalf?:	Yes No
	If so, name of person attending on your behalf:
	What type of meal do you or person attending on your behalf prefer?:	Regular Vegetarian
*	Will you be bringing a guest?:	Yes No
The fee for guests is 30 dollars each. Click below to pay with a credit card. You may also pay at the door – checks only. Checks should be payable to NMEPC.
	Guest 1 Name:
	Guest 1 meal preference:	Regular Vegetarian
	Guest 2 Name:
	Guest 2 meal preference:	Regular Vegetarian
	Guest 3 Name:
	Guest 3 meal preference:	Regular Vegetarian