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MEDP's 2017 Annual Event ~ Forging the Economic Future

Please join us on Tuesday, October 3, 2017 for MEDP's Annual Event and Awards Ceremony -- Forging the Economic Future.  This year's event will be held at The Lodge at The Falls Event Center at Evergreen from 8:00 - 10:30am.  Please complete the following registration form to participate.

Yes, I would like to register for MEDP's 2017 Annual Event.

First Name:
Last Name:
Title:
Company:
Address:
City:
State:
Zip code:
Phone:
Email:
 

Yes, please register additional attendees from my company:

2nd Attendee First Name:
2nd Attendee Last Name:
2nd Attendee Title:
2nd Attendee Email:
 
If additional attendees, please list their name, title and email:
 

Ticket Information:  Please register by September 19, 2017

$40.00  VIP Rate (for all area manufacturers, investors, and partner board members: MIP, W&L, Chamber, City)
$40.00
$50.00  Standard Rate
$50.00

Payment Processing:

Please Invoice Me, I will pay by check.
Invoice
I will pay via PayPal with my credit card.
PayPal
When this form has been successfully submitted you will receive a "Thank You" message that will include the PayPal link.  If you have chosen to submit payment this way you will need to complete the PayPal form for final confirmation of registration.  If you have asked to be invoiced, we will forward an invoice via email.
 
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