Please complete this form to confirm your RSVP for the monthly program.

I will attend         I will not attend

First Name  
Last Name

Check Designations

   CAP-OM   CAP  (if applicable)

Company (if applicable)
E-mail Address
Phone Number

Meal Option

  
How did you hear about the program?  
Attendee Status:    
             *If you are a guest of a chapter member, enter the member's name:
 

Please leave any additional information, questions, or feedback:


Note:  You are obligated to pay for dinner when you make a reservation.  If you cannot attend, please cancel your reservation by the Thursday before the meeting; otherwise you will receive an invoice.

For additional information or questions, contact reservations@iaap-clnac.org.