Event Payment Form

AARO Event Signup and Payment Form

Please include the name of the event and the names of your guests below. (* = Required field)
Title:
First Name:*
Last Name:*
Home Phone:
Cell Phone:
Email:*

The 113th Congress: Same Old, Same Old or Is There Something New? Wednesday, May 22, 18:30 Please check one box per attendee:
1 attendee = 10 €
1 attendee = 10 €
1 attendee = 10 €
1 attendee = 10 €
1 attendee (Non-Member) = 15 €
1 attendee (Non-Member) = 15 €
1 attendee (Non-Member) = 15 €
1 attendee (Non-Member) = 15 €
TOTAL:

IMPORTANT: For security purposes it is necessary to provide the names and email addresses of all attendees for the check-in list.
Name and Email of Attendees: Ex: John Doe, john.doe@email.com Jane Doe, jane.doe@email.com

Please click submit to complete the form. You will be transferred to the CIC Banque Transatlantique secure site for payment.