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Event Information
Member Name
*
First
Last
Designation(s)
Example; CCE, CBA, CBF, ect.
Phone Number
*
Member Company
*
Email
*
Member Number
Register Attendee 2
Add Another Attendee
2nd Attendee Name
*
First
Last
Designation(s)
Example; CCE, CBA, CBF, ect.
Phone Number
*
Member Company
*
Email
*
Member Number
Register Attendee 3
Add Another Attendee
3rd Attendee Name
*
First
Last
Designation(s)
Example; CCE, CBA, CBF, ect.
Phone Number
*
Member Company
*
How would you like to attend?
*
In-Person at the Coppell Office
Virtually via Teams
Member Status Pricing
*
Members - $249.00
Members - $249.00
Non-Members - $498.00
0
1
2
3
Total
$0.00
How would you like to pay?
*
Credit Card
Bill My Membership
Credit Card
*
Email
*
Member Number
Register
