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Welcome to MAC-ASHI!

Next Meeting: December 11

Event Registration

Title: MAC-ASHI December Member Meeting
Location: Rockville Senior Citizen Center, 1150 Carnation Drive, Rockville, MD 20850
Date / Time: 12/11/2019 06:00 pm to 12/11/2019 09:00 pm

Cost: $60.00



First Name

Last Name

Company

Email Address

Phone Number

Mobile Phone Number

Street Address

City

State / Province

Zip / Postal Code

Check this box if you would like email notices for future Seminars

Name for Certificate (if applicable)

Name for Name Tag

ASHI Membership Number (if you have one)
ASHI Chapter (if you have one)




Payment by Check :: Receipt



Print this receipt, and include it with your check made payable for $60.00 to MAC ASHI. Mail it to:

PO Box 54 Myersville, MD 21773

Name:
Company:
Email Address:
Phone Number:
Mobile Phone Number:
Street Address:
City:
State / Province:
Zip / Postal Code:

Event:
Event Location:
Event Date / Time:
MAC ASHI

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